Spelts, Jimmy Wayne

Spelts, Jimmy Wayne is an individual health care provider with primary practice located at 732 Eden Way N Ste E507 , Chesapeake VA 23320-2798. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Spelts, Jimmy Wayne can be contacted via phone (757) 412-7840.

Contact Information

Primary practice address
732 Eden Way N Ste E507 Chesapeake VA 23320-2798
Phone: (757) 412-7840
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024182894 Virginia

Profile Details

NPI number 1104423946
LBN Legal business name Spelts, Jimmy Wayne
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2020
Last updated Oct 13th, 2021 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104423946 NPPES
Other UNKNOWN UNKNOWN

Popular Providers