Individual
JONATHAN LEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, MHA
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-0485
Mailing address
4400 WAKE FOREST RD, PORTSMOUTH, VA 23703-4411
(330) 354-4266
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.308591
OH
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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