Provider Demographics
NPI:1104565266
Name:SYLVESTER, JEWEL (NP)
Entity type:Individual
Prefix:MRS
First Name:JEWEL
Middle Name:
Last Name:SYLVESTER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 OLD GREAT NECK RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-3358
Mailing Address - Country:US
Mailing Address - Phone:757-805-5500
Mailing Address - Fax:757-720-3606
Practice Address - Street 1:509 OLD GREAT NECK RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-3358
Practice Address - Country:US
Practice Address - Phone:757-805-5500
Practice Address - Fax:757-720-3606
Is Sole Proprietor?:No
Enumeration Date:2022-05-27
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024187271363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily