| Mr Jamie L Moore, PMHNP-BC, DNP | |
| 
					620 John Paul Jones Cir, Portsmouth, VA 23708-2111  | |
| (757) 953-7997 | |
| Not Available | 
| Full Name | Mr Jamie L Moore | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 620 John Paul Jones Cir, Portsmouth, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1952962664 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 788960 (Texas) | Secondary | 
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1013372 (Texas) | Primary | 
| Entity Name | Nazimuddin Mohammed Md Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1710495569 PECOS PAC ID: 4284995051 Enrollment ID: O20180220000455  | 
| Entity Name | Compassionate Psychiatric Services Of Southlake Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1295561801 PECOS PAC ID: 0749716942 Enrollment ID: O20241211003032  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Jamie L Moore, PMHNP-BC, DNP 944 Stanhope Gdns, Chesapeake, VA 23320-0741 Ph: (757) 675-0164  | Mr Jamie L Moore, PMHNP-BC, DNP 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 Ph: (757) 953-7997  | 
Mr. John F Lyons, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-445-9187 Fax: 757-445-5443  | |
Flordeliza Ablao-chanthavichith, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3235 Academy Ave, Suite 305, Portsmouth, VA 23703 Phone: 757-686-9300 Fax: 757-686-1514  | |
Mrs. Keva Denise Hoyt, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4106 Portsmouth Blvd, Portsmouth, VA 23701 Phone: 757-393-1136 Fax: 757-698-2499  | |
Mrs. Desirae Nicole Pierce, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-1894 Fax: 757-953-0090  | |
Jordan Cox, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3636 High St, Portsmouth, VA 23707 Phone: 757-398-2200  | |
Mr. Wilber C. Delorme, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Naval Medical Cent Portsmout Dermatology Clinic, Portsmouth, VA 23708 Phone: 757-953-0311  | |
Jennifer Pruhs, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-477-2875 Fax: 757-953-9035  |