Individual
CHASSITIE L GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2901 S LYNNHAVEN RD STE 450, VIRGINIA BEACH, VA 23452-8524
(757) 536-2246
(757) 965-9806
Mailing address
7855 ARGYLE FOREST BLVD STE 101, JACKSONVILLE, FL 32244-5597
(904) 282-6331
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001234356
VA
363LF0000X
Family Nurse Practitioner
Primary
0024176292
VA
363LF0000X
Family Nurse Practitioner
APRN11005890
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105822400
—
FL
Enumeration date
07/03/2018
Last updated
10/07/2022
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