Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Manju Treesa Jose

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1023885373

Manju Treesa Jose is a Nurse Practitioner in Williamsburg, Virginia. Qualified in 2023, 3 years ago. Practices with Aevum Bh VA LLC, a 35-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
3
Licensed in
VA
In the registry since
2023

Practice location Address checks out

5436 Burlington Ct
Williamsburg, VA 23188-7616
Phone: (757) 968-0936
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2244 Executive Dr, Hampton, VA 23666-2430 — (757) 827-1001

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0024188909 (VA)

Record details

NPI number1023885373
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 7, 2023
Last updated in NPPESJanuary 7, 2025
Certification dateJanuary 7, 2025
Mailing addressHampton Newport News Csb, 600 Medical Drive, Hampton, VA 23666-7616

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)
Group practice Aevum Bh Va Llc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Williamsburg