MEDICARE: MS. SARAH LYNNE SEMONES RN, MS, PMHCNS, NP-C

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	364SP0809X	Adult Psychiatric/Mental Health Clinical Nurse Specialist	001500463	VA
2	363LA2200X	Adult Health Nurse Practitioner	0024168429	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	1255391298	OTHER	VA	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255391298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SARAH LYNNE SEMONES RN, MS, PMHCNS, NP-C

Provider Business Mailing Address
First Line	:	103 MELVINS END
Second Line	:
City	:	YORKTOWN
State	:	VA
Zip	:	23693-2566
Country	:	US
Telephone Number	:	757-846-8237
Fax Number	:

Provider Business Practice Location Address
First Line	:	103 MELVINS END
Second Line	:
City	:	YORKTOWN
State	:	VA
Zip	:	23693-2566
Country	:	US
Telephone Number	:	757-846-8237
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	06/22/2012

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