| Jayasudha Paramasivam, | |
|
16808 Thornapple Run, Moseley, VA 23120-2319 | |
| (804) 926-7975 | |
| Not Available |
| Full Name | Jayasudha Paramasivam |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | 16808 Thornapple Run, Moseley, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821841545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024190275 (Virginia) | Secondary |
| 163W00000X | Registered Nurse | 0001286361 (Virginia) | Primary |
| Entity Name | Henrico Area Mental Heatlh and Developmental Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023119773 PECOS PAC ID: 8022004811 Enrollment ID: O20040426000770 |
| Mailing Address | Practice Location Address |
|---|---|
| Jayasudha Paramasivam, 16808 Thornapple Run, Moseley, VA 23120-2319 Ph: (804) 926-7975 | Jayasudha Paramasivam, 16808 Thornapple Run, Moseley, VA 23120-2319 Ph: (804) 926-7975 |
Katrina Martinez, PMHNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 11913 Black Alder Dr, Moseley, VA 23120 Phone: 619-241-0333 |
Sheeja Mole Kolencherry Augustine, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 5936 Sterlingworth Dr, Moseley, VA 23120 Phone: 570-702-7849 |