Cunningham, Jera Nelson
Cunningham, Jera Nelson is an sole proprietor health care provider with primary practice located at 9097 Atlee Station Rd , Mechanicsville VA 23116-2525. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cunningham, Jera Nelson can be contacted via phone (804) 730-0432.Contact Information
Primary practice address
9097 Atlee Station Rd
Mechanicsville VA 23116-2525
Phone: (804) 730-0432
Fax: (804) 730-2829
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810003467 | Virginia |
Profile Details
| NPI number | 1497865869 |
|---|---|
| LBN Legal business name | Cunningham, Jera Nelson |
| Credentials | PH.D., LCP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Sep 27th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497865869 | NPPES |
| Virginia | Other | 173266 | ANTHEM PROVIDER NUMBER |
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