Provider Demographics
NPI:1093034563
Name:REED, TESHARA NAI'LAH (NP-C)
Entity type:Individual
Prefix:
First Name:TESHARA
Middle Name:NAI'LAH
Last Name:REED
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3388 PRINCESS ANNE RD STE 2001
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-2612
Mailing Address - Country:US
Mailing Address - Phone:757-507-7270
Mailing Address - Fax:833-406-3955
Practice Address - Street 1:3388 PRINCESS ANNE RD STE 2001
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-2612
Practice Address - Country:US
Practice Address - Phone:757-507-7270
Practice Address - Fax:833-406-3955
Is Sole Proprietor?:No
Enumeration Date:2010-05-24
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001184111163W00000X
VA0017139719363L00000X
VA0024168746363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner