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

MS. Jennifer L Bainum, CPNP, PMHNP-BC

Individual provider Pediatric Nurse Practitioner · NPI 1225381437

MS. Jennifer L Bainum, CPNP, PMHNP-BC is a Nurse Practitioner in Suffolk, Virginia. Qualified in 2012, 14 years ago. Works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Virginia.

Years since qualifying
14
Licensed in
CA, VA
In the registry since
2012
Specialties on file
4
What do these letters mean?
CPNP — Certified Pediatric Nurse Practitioner
A nurse practitioner certified in paediatrics.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

1577 Wilroy Rd Ste 102
Suffolk, VA 23434-2433
Phone: (757) 204-5775
Fax: (757) 257-2320
Show map & directions

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

Additional practice locations (4)

  • 817 Volvo Pkwy, Chesapeake, VA 23320-2855 — (757) 668-7007
  • 680 Oyster Point Rd Ste 200, Newport News, VA 23606-4570 — (757) 668-7007
  • 3960 Virginia Beach Blvd Ste 101, Virginia Beach, VA 23452-2449 — (757) 668-7007
  • 4445 Corporation Ln Ste 145, Virginia Beach, VA 23462-3611 — (757) 204-5775

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0024177886 (VA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 95011573 (CA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 0024177886 (VA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 95011573 (CA)

Record details

NPI number1225381437
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP , PMHNP-BC
Sole proprietorNo
NPI enumeratedOctober 25, 2012
Last updated in NPPESAugust 23, 2023
Certification dateAugust 23, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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