Provider Demographics
NPI:1457858607
Name:DAWSON, JANET MILLER (PMHNP)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:MILLER
Last Name:DAWSON
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6526 HANOVER AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-3006
Mailing Address - Country:US
Mailing Address - Phone:804-432-3273
Mailing Address - Fax:
Practice Address - Street 1:CHESAPEAKE INTEGRATED BEHAVIORAL HEALTHCARE
Practice Address - Street 2:224 GREAT BRIDGE BOULEVARD
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-3904
Practice Address - Country:US
Practice Address - Phone:757-547-9334
Practice Address - Fax:757-819-6292
Is Sole Proprietor?:No
Enumeration Date:2018-04-12
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024175318363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health