INDEPENDENCE PSYCHIATRIC SERVICES

NPI # 

Practice Address:

7544 Gardner Park Dr

Gainesville, VA, 20155-3414

Practice Phone:

919-645-8435

Practice Fax:

877-416-0196

License Number:

0024168508

License State:

VA

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Nurse Practitioner

Taxonomy Specialization:

Psychiatric/Mental Health

Taxonomy Code:

363LP0808X