Garris, Jacquetta

Garris, Jacquetta is an sole proprietor health care provider with primary practice located at 505 S Independence Blvd , Virginia Bch VA 23452-1150. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Garris, Jacquetta can be contacted via phone (757) 490-6483.

Contact Information

Primary practice address
505 S Independence Blvd Virginia Bch VA 23452-1150
Phone: (757) 490-6483
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 0001213031 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024180091 Virginia

Profile Details

NPI number 1265069504
LBN Legal business name Garris, Jacquetta
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2020
Last updated Sep 21st, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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