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Individual

MR. JARED SCOTT VEGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-C, PMHNP-BC

Contact information

Practice address
77 NEALY AVE, LANGLEY AFB, VA 23665-2040
(757) 764-6840
Mailing address
439 W YORK ST, NORFOLK, VA 23510-1114
(718) 938-0527

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
077291-23
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024180490
VA

Other

Enumeration date
07/19/2017
Last updated
07/11/2025
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