Provider Demographics
NPI:1306681366
Name:CALVI, JENNI (FNP)
Entity type:Individual
Prefix:
First Name:JENNI
Middle Name:
Last Name:CALVI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:JENNI
Other - Middle Name:
Other - Last Name:BEAULIEU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:900 COMMODORE DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-2804
Mailing Address - Country:US
Mailing Address - Phone:978-846-0770
Mailing Address - Fax:
Practice Address - Street 1:900 COMMODORE DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-2804
Practice Address - Country:US
Practice Address - Phone:978-846-0770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024190572363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily