| Jordan Thomas Parker, LPC | |
|
4445 Corporation Ln, Virginia Beach, VA 23462-3262 | |
| (757) 233-0003 | |
| Not Available |
| Full Name | Jordan Thomas Parker |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 4445 Corporation Ln, Virginia Beach, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851104582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0701014455 (Virginia) | Primary |
| Entity Name | Your Nurse Practitioner PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801489711 PECOS PAC ID: 7113329517 Enrollment ID: O20210707003787 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Thomas Parker, LPC 2900 Evergreen Ct, Chesapeake, VA 23321-4209 Ph: (757) 572-4780 | Jordan Thomas Parker, LPC 4445 Corporation Ln, Virginia Beach, VA 23462-3262 Ph: (757) 233-0003 |
Joy J Sprenkle, Counselor Medicare: Accepting Medicare Assignments Practice Location: 2697 International Pkwy, Virginia Beach, VA 23452 Phone: 757-301-7129 Fax: 757-301-7211 |
Caitlin Cavanaugh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 N Lynnhaven Rd Ste 308, Virginia Beach, VA 23452 Phone: 757-222-4944 |
Mr. Samuel James Johnson Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 2524 Hidden Shores Dr Apt 103, Virginia Beach, VA 23454 Phone: 757-235-1811 |
Cheryl A St John, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 289 Independence Blvd, Suite 138, Virginia Beach, VA 23462 Phone: 757-385-4980 |
Rebecca Provost, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 921 First Colonial Rd Ste 1711, Virginia Beach, VA 23454 Phone: 757-932-8057 |
Lydia Steele, LPC Counselor Medicare: Medicare Enrolled Practice Location: 228 N Lynnhaven Rd Ste 110, Virginia Beach, VA 23452 Phone: 757-340-6100 |
Tanikia Washington, Counselor Medicare: May Accept Medicare Assignments Practice Location: 2313 Red Tide Rd, Virginia Beach, VA 23451 Phone: 910-703-2848 |