Amutallah Abdussalaam, AGNP-C
Amutallah Abdussalaam, AGNP-C is a Nurse Practitioner in Portsmouth, Virginia. Qualified in 2024, 2 years ago. Practices with SE Virginia Value Based Care LLC, a 156-clinician group and accepts Medicare assignment. Licensed in Virginia.
- Years since qualifying
- 2
- Licensed in
- VA
- In the registry since
- 2024
Practice location Address checks out
3640 High St Ste 1EPortsmouth, VA 23707-3213
Phone: (757) 399-2639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence 0024192072 (VA) |
|---|
Record details
| NPI number | 1396553780 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AGNP-C |
| Sole proprietor | Yes |
| NPI enumerated | December 18, 2024 |
| Last updated in NPPES | December 18, 2024 |
| Certification date | December 18, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Se Virginia Value Based Care Llc — 156 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Portsmouth
-
Brian Burdick
620 John Paul Jones Cir, Portsmouth, VA 23708-2111 · (757) 953-3422
-
MS. Lisa Faye Rose, ANP
620 John Paul Jones Cir, Portsmouth, VA 23708-2111 · (757) 953-3649