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

Miss. Susan Adele Ketcham, MSNRNAGCNS-BCCPAN

Individual provider Adult Health Clinical Nurse Specialist · NPI 1689345365

Miss. Susan Adele Ketcham, MSNRNAGCNS-BCCPAN is an Adult Health Clinical Nurse Specialist in Charlottesville, Virginia. Licensed in Virginia. Registered with an NPI since 2021.

Licensed in
VA
In the registry since
2021

Practice location Address checks out

1215 Lee St
Charlottesville, VA 22908-0816
Phone: (434) 297-6016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Clinical Nurse Specialist (primary) Taxonomy 364SA2200X · Licence 0024182547 (VA)

Record details

NPI number1689345365
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSNRNAGCNS-BCCPAN
Sole proprietorNo
NPI enumeratedSeptember 23, 2021
Last updated in NPPESSeptember 23, 2021
Certification dateSeptember 23, 2021

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