Organization
INDEPENDENCE PSYCHIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE Y HWANG FAMILY PSYCH NP (OWNER)
(919) 645-8435
Entity
Organization
Contact information
Practice address
7544 GARDNER PARK DR, GAINESVILLE, VA 20155-3414
(919) 645-8435
(877) 416-0196
Mailing address
7544 GARDNER PARK DR, GAINESVILLE, VA 20155-3414
(919) 645-8435
(877) 416-0196
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024168508
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396818795
NPI
VA
Enumeration date
07/17/2014
Last updated
07/17/2014
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