Healthcare Provider Details

I. General information

NPI: 1952534901
Provider Name (Legal Business Name): JAMIE L. DARDEN N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2009
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5849 HARBOUR VIEW BLVD STE 250
SUFFOLK VA
23435-3769
US

IV. Provider business mailing address

5849 HARBOUR VIEW BLVD STE 250
SUFFOLK VA
23435-3769
US

V. Phone/Fax

Practice location:
  • Phone: 757-337-4018
  • Fax:
Mailing address:
  • Phone: 757-337-4018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024108523
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: