JACQUETTA GARRIS NP NPI 1265069504

NPI Information

NPI: 1265069504
Provider Name: JACQUETTA GARRIS, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
505 S INDEPENDENCE BLVD
VIRGINIA BCH, VA
ZIP 23452
Phone: (757) 490-6483
Get Directions

Jacquetta Garris, NP is a psychiatric/mental health nurse practitioner in Virginia Bch, VA. Jacquetta Garris, NP NPI is 1265069504. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

505 S INDEPENDENCE BLVD
VIRGINIA BCH, VA
ZIP 23452-150
Phone: (757) 490-6483

The NPI 1265069504 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/25/2020 and was last updated on 9/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	0001213031	VIRGINIA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	0024180091	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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