Provider Demographics
NPI:1922264696
Name:CHEEKS, PATRICIA (PMHCNS-BC)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:
Last Name:CHEEKS
Suffix:
Gender:F
Credentials:PMHCNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:595 PETER JEFFERSON PKWY
Mailing Address - Street 2:MARTHA JEFFERSON OUTPATIENT CARE
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-4627
Mailing Address - Country:US
Mailing Address - Phone:434-982-7782
Mailing Address - Fax:434-244-4490
Practice Address - Street 1:600 PETER JEFFERSON PKWY
Practice Address - Street 2:MEMB-
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-8835
Practice Address - Country:US
Practice Address - Phone:434-244-4453
Practice Address - Fax:434-982-7752
Is Sole Proprietor?:No
Enumeration Date:2008-08-01
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0015000340364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult