Healthcare Provider Details

I. General information

NPI: 1467711721
Provider Name (Legal Business Name): RESA JANE NOE-NORMAN PMHNP, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RESA JANE NOE PMHFNP

II. Dates (important events)

Enumeration Date: 05/08/2012
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 HAIRSTON ST
DANVILLE VA
24540-4137
US

IV. Provider business mailing address

13740 N HIGHWAY 183 STE L2
AUSTIN TX
78750-1833
US

V. Phone/Fax

Practice location:
  • Phone: 866-816-0433
  • Fax:
Mailing address:
  • Phone: 888-285-2269
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024187315
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number17612
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: