Individual
JUSTINE MARIE SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-5257
(757) 953-4967
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-5269
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101256825
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/08/2013
Last updated
08/18/2023
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