Jack, Nurisha Shavon

Jack, Nurisha Shavon is an individual health care provider with primary practice located at 9300 Dewitt Loop , Fort Belvoir VA 22060-5285. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Other Service Providers / Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Jack, Nurisha Shavon can be contacted via phone (571) 231-3442.

Contact Information

Primary practice address
9300 Dewitt Loop Fort Belvoir VA 22060-5285
Phone: (571) 231-3442
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 0024177805 Virginia
Other Service Providers / Midwife 176B00000X R191018 Maryland

Profile Details

NPI number 1306338363
LBN Legal business name Jack, Nurisha Shavon
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2018
Last updated Nov 21st, 2023 - about 3 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.

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