BLACK HIBISCUS MEDISPA LLC NPI 1790506442

NPI Information

  • NPI: 1790506442
  • Provider Name: BLACK HIBISCUS MEDISPA LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 4663 HAYGOOD RD STE 203
    VIRGINIA BEACH, VA
    ZIP 23455
  • Phone: (757) 917-8841

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NPI Details

BLACK HIBISCUS MEDISPA LLC is a family nurse practitioner in Virginia Beach, VA. BLACK HIBISCUS MEDISPA LLC NPI is 1790506442. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4663 HAYGOOD RD STE 203
VIRGINIA BEACH, VA
ZIP 23455-442
Phone: (757) 917-8841

The provider's authorized official is Vernica Anderson .
The authorized official title is Owner and has the following contact phone number (347) 926-3188.

The enumeration date for this NPI number is 10/24/2024 and was last updated on 10/24/2024.

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
1363LF0000XNurse PractitionerFamilyYes
2363LP0808XNurse PractitionerPsychiatric/Mental HealthNo

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: 11/21/2025

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