Healthcare Provider Details

I. General information

NPI: 1528609187
Provider Name (Legal Business Name): TRISHA NARDIA PARKER PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2019
Last Update Date: 09/06/2024
Certification Date: 09/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3082 BRICKHOUSE CT STE B
VIRGINIA BEACH VA
23452-6859
US

IV. Provider business mailing address

4300 PORTSMOUTH BLVD UNIT 9183
CHESAPEAKE VA
23321-0607
US

V. Phone/Fax

Practice location:
  • Phone: 757-528-2850
  • Fax: 757-432-3159
Mailing address:
  • Phone: 757-528-2850
  • Fax: 757-432-3159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024178308
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code364SP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
License Number0024178308
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number0024178308
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number0024178308
License Number StateVA
# 5
Primary TaxonomyN
Taxonomy Code364SP0810X
TaxonomyChild & Family Psychiatric/Mental Health Clinical Nurse Specialist
License Number0024178308
License Number StateVA
# 6
Primary TaxonomyN
Taxonomy Code364SP0811X
TaxonomyChronically Ill Psychiatric/Mental Health Clinical Nurse Specialist
License Number0024178308
License Number StateVA
# 7
Primary TaxonomyN
Taxonomy Code364SP0813X
TaxonomyGeropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
License Number0024178308
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: