Individual
MS. SUSAN L JAREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
11815 FOUNTAIN WAY STE 300, NEWPORT NEWS, VA 23606-4448
(757) 603-3986
Mailing address
PO BOX 6865, WILLIAMSBURG, VA 23188-5231
(757) 310-8167
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
061597-21
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024175618
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
061597-23
NH
Other
Enumeration date
04/24/2017
Last updated
07/14/2020
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