Individual
MRS. NAKESHIA LYNN MOUZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, PMHNP
Contact information
Practice address
533 NEWTOWN RD STE 115, VIRGINIA BEACH, VA 23462-5758
(757) 204-1901
Mailing address
1216 GRANBY ST STE 20, NORFOLK, VA 23510-2622
(757) 204-1901
(908) 504-8194
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024170001
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024170001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164788519
—
VA
Enumeration date
04/10/2012
Last updated
06/05/2024
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