Individual
MS. REBECCA MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-7000
(757) 953-5025
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-7000
(757) 953-5025
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1194683
VA
163W00000X
Registered Nurse
960780
NY
363LP0200X
Pediatric Nurse Practitioner
0024167515
VA
363LP0200X
Pediatric Nurse Practitioner
Primary
383774
NY
363LP0200X
Pediatric Nurse Practitioner
MM9459000
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407039340
—
VA
Enumeration date
12/14/2007
Last updated
05/01/2025
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