MEDICARE: NURSESPRING OF VIRGINIA BEACH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1013864016
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NURSESPRING OF VIRGINIA BEACH LLC

Provider Business Mailing Address
First Line	:	5500 N DAVIS HWY
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32503-2064
Country	:	US
Telephone Number	:	850-479-8620
Fax Number	:	850-479-8668

Provider Business Practice Location Address
First Line	:	468 INVESTORS PL STE 106
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-1109
Country	:	US
Telephone Number	:	757-597-4000
Fax Number	:	757-597-4050

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SUSAN JASON
Credential	:
Telephone Number	:	850-479-8620

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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