MEDICARE: NURTURE & NURSES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1093194516
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NURTURE & NURSES, INC.

Provider Business Mailing Address
First Line	:	6112 HYDE CIR
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23513-3344
Country	:	US
Telephone Number	:	757-912-4351
Fax Number	:

Provider Business Practice Location Address
First Line	:	6112 HYDE CIR
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23513-3344
Country	:	US
Telephone Number	:	757-912-4351
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	SHEREKA JENKINS
Credential	:
Telephone Number	:	757-912-4351

Provider Enumeration Date	:	05/29/2015
Last Update Date	:	05/29/2015

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