Healthcare Provider Details

I. General information

NPI: 1013864016
Provider Name (Legal Business Name): NURSESPRING OF VIRGINIA BEACH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2026
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

468 INVESTORS PL STE 106
VIRGINIA BEACH VA
23452-1109
US

IV. Provider business mailing address

5500 N DAVIS HWY
PENSACOLA FL
32503-2064
US

V. Phone/Fax

Practice location:
  • Phone: 757-597-4000
  • Fax: 757-597-4050
Mailing address:
  • Phone: 850-479-8620
  • Fax: 850-479-8668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SUSAN JASON
Title or Position: PRESIDENT
Credential:
Phone: 850-479-8620