IndividualActive
Jean Waite
NPI 1245076603 · Psychiatric/Mental Health Registered Nurse · Woodbridge, VA
Provider details
- NPI number
- 1245076603
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- R242135 (MD)
Specialties & taxonomies
Nursing Service Providers
Practice location
15362 Ballerina Loop
Woodbridge, VA 22193-8530
Phone: (240) 305-9321
Approximate (ZIP-level) locationGet directions
Mailing address
15362 Ballerina Loop
Woodbridge, VA 22193-8530
Registry dates
- Enumerated
- 2024-07-05
- Last updated
- 2024-07-05
- Certified
- 2024-07-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.