Organization
INTEGRAL HEALTH & WELLNESS
Active
Other names
Nu Body Weight Loss & Aesthetics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAKESHIA LYNN MOUZON FNP-C, PMHNP-BC (OWNER)
(757) 204-1901
Entity
Organization
Contact information
Practice address
533 NEWTOWN RD STE 115, VIRGINIA BEACH, VA 23462-5758
(757) 204-1901
Mailing address
1216 GRANBY ST, NORFOLK, VA 23510-2607
(757) 204-1901
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164788519
—
VA
Enumeration date
06/07/2020
Last updated
06/05/2024
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