Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jolie Rivenbark, RN, PMHNP-BC

Individual provider Registered Nurse · NPI 1831835800

Jolie Rivenbark, RN, PMHNP-BC is a Nurse Practitioner in Woodbridge, Virginia. Qualified in 2023, 3 years ago. Licensed in Colorado and Virginia.

Years since qualifying
3
Licensed in
CO, VA
In the registry since
2022
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

14130 Noblewood Plz Ste 306
Woodbridge, VA 22193-1467
Phone: (703) 485-0470
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0024189696 (VA)
Registered Nurse Taxonomy 163W00000X · Licence RN.1677126 (CO)

Record details

NPI number1831835800
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , PMHNP-BC
Sole proprietorNo
NPI enumeratedMay 11, 2022
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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