Healthcare Provider Details

I. General information

NPI: 1255391298
Provider Name (Legal Business Name): SARAH LYNNE SEMONES RN, MS, PMHCNS, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 06/22/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 MELVINS END
YORKTOWN VA
23693-2566
US

IV. Provider business mailing address

103 MELVINS END
YORKTOWN VA
23693-2566
US

V. Phone/Fax

Practice location:
  • Phone: 757-846-8237
  • Fax:
Mailing address:
  • Phone: 757-846-8237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number001500463
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number0024168429
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: