Provider Demographics
NPI:1265244826
Name:JOSEPH, ARISSA NICOLE (PMHNP)
Entity type:Individual
Prefix:
First Name:ARISSA
Middle Name:NICOLE
Last Name:JOSEPH
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 1:426 N STAFFORD AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23220-3419
Mailing Address - Country:US
Mailing Address - Phone:540-461-4222
Mailing Address - Fax:
Practice Address - Street 1:426 N STAFFORD AVE APT 2
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23220-3419
Practice Address - Country:US
Practice Address - Phone:540-361-4222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024191799363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health