YOUR NURSE PRACTITIONER PLLC
NPI 1801489711
Nurse Practitioner - Psychiatric/Mental Health in Virginia Beach, VA

Q: What is Your Nurse Practitioner PLLC's NPI number?

The NPI number for Your Nurse Practitioner PLLC is 1801489711. It was assigned to this organization in the NPPES registry on February 11, 2021. The provider is doing business as Panacea Behavioral Health & Wellness Center.

Q: What is Your Nurse Practitioner PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since February 11, 2021

4360 SHORE DR STE 101, VIRGINIA BEACH, VA 23455(757) 251-0879(984) 220-9437 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 16, 2026, Nov 23, 2024, Oct 16, 2023 and 6 more (9 updates tracked since 2021).

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About Your Nurse Practitioner Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YOUR NURSE PRACTITIONER PLLC (NPI 1801489711), doing business as Panacea Behavioral Health & Wellness Center, is a healthcare organization registered as a psychiatric/mental health in Virginia Beach, Virginia and active in the NPI registry since February 2021. The organization maintains 2 additional practice locations and lists Sandra W Nichols, Ceo, as its authorized official.

NPPES Registry Identity

NPI1801489711

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameYOUR NURSE PRACTITIONER PLLC

Location Address4360 SHORE DR STE 101Virginia Beach, VA 23455-2994

Mailing Address4360 Shore Dr Ste 101Virginia Beach, VA 23455-2994 · (757) 251-0879 · Fax (984) 220-9437

Phone(757) 251-0879

Fax(984) 220-9437

Organization SubpartNo

Authorized OfficialSandra W NicholsCeo · (757) 251-0879

Enumeration DateFebruary 11, 2021

Last NPPES UpdateJanuary 16, 20269 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2026

✔ NPI 1801489711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

Also ListedOccupational Therapist · Human FactorsTaxonomy 225XH1300X

Also ListedOccupational Therapist · Mental HealthTaxonomy 225XM0800X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4360 SHORE DR STE 101, Virginia Beach, VA 23455

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Other Names 1

Doing Business AsPanacea Behavioral Health & Wellness Center

Secondary Practice Locations 2

Location 11611 E Joy Ln Ste 1Fort Mohave, AZ 86426-8940 · Phone (757) 251-0879 · Fax (984) 220-9437

Location 2857 E Park AveTallahassee, FL 32301-2620 · Phone (757) 251-0879 · Fax (984) 220-9437

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALISON LOPEZ AGPCNP-C

Nurse Practitioner (Adult Health)