Provider Demographics
NPI:1205626918
Name:ORTEGA, JEAN APRIL (MSN, RN, CPNP-PC)
Entity type:Individual
Prefix:
First Name:JEAN
Middle Name:APRIL
Last Name:ORTEGA
Suffix:
Gender:
Credentials:MSN, RN, CPNP-PC
Other - Prefix:
Other - First Name:JEAN
Other - Middle Name:
Other - Last Name:BUZETA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1005 COMMERCIAL LN STE 220
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-8149
Mailing Address - Country:US
Mailing Address - Phone:757-668-8363
Mailing Address - Fax:
Practice Address - Street 1:1005 COMMERCIAL LN STE 220
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-8149
Practice Address - Country:US
Practice Address - Phone:757-668-8363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-07
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001288586163W00000X
VA0024193480363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse