Provider Demographics
NPI:1659253987
Name:GUEVARA AGUILERA, JOSSELYN N
Entity type:Individual
Prefix:
First Name:JOSSELYN
Middle Name:N
Last Name:GUEVARA AGUILERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 BIRD LN
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-2453
Mailing Address - Country:US
Mailing Address - Phone:516-813-7773
Mailing Address - Fax:
Practice Address - Street 1:14 BIRD LN
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-2453
Practice Address - Country:US
Practice Address - Phone:516-813-7773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001338211163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse