Individual
JAMIE LEIGH SUSTAKOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1401 KRISTINA WAY STE 203, CHESAPEAKE, VA 23320-8918
(757) 453-3119
Mailing address
1401 KRISTINA WAY STE 203, CHESAPEAKE, VA 23320-8918
(757) 453-3119
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024176802
VA
Other
Enumeration date
09/06/2012
Last updated
05/05/2026
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