Individual
TAJE USHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1729 WILDWOOD DR STE 103, VIRGINIA BEACH, VA 23454-3176
(757) 938-3654
(757) 938-3658
Mailing address
3999 MARINA LAKE RD APT 107, VIRGINIA BEACH, VA 23452-2027
(585) 490-7936
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0024188699
VA
251S00000X
Community/Behavioral Health Agency
0024188699
VA
363LC1500X
Community Health Nurse Practitioner
0024188699
VA
Other
Enumeration date
10/09/2023
Last updated
10/07/2025
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