Jonathan Wallace Nase
Student in an Organized Health Care Education/Training Program in Portsmouth, VA. Individual provider (NPI-1).
NPI number1013857366
StatusActive
Last updated in NPPESMar 30, 2026
Details
- NPI
- 1013857366
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Wallace Nase
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2026
- Certification date
- Mar 29, 2026
- Last updated
- Mar 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
620 John Paul Jones CirPortsmouth, VA 23708-2111
Phone 757-953-2277
Mailing address
620 John Paul Jones CirPortsmouth, VA 23708-2111
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