Jose Edwin Nieves, M.D.
Psychiatry & Neurology, Psychiatry in Fort Eustis, VA. Individual provider (NPI-1).
NPI number1013974005
StatusActive
Last updated in NPPESAug 23, 2024
Details
- NPI
- 1013974005
- Entity type
- Individual (NPI-1)
- Name
- Jose Edwin Nieves
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2006
- Certification date
- Aug 23, 2024
- Last updated
- Aug 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 42865 | VA | Yes |
Practice location
576 Jefferson AveFort Eustis, VA 23604-1373
Phone 757-314-7712
Mailing address
576 Jefferson AveFort Eustis, VA 23604-1373
Phone 757-314-7712
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