NPI 1063395556 · live from the CMS NPI Registry
Mary Suzanne Adcook, NP
Nurse Practitioner, Pediatrics in Chesapeake, VA. National Provider Identifier 1063395556, active.
NPI record
| NPI | 1063395556 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 312 Cedar Lakes Dr Ste 103, Chesapeake, VA 23322 |
| Practice phone | 757-410-2833 |
| Mailing address | 1703 Cheslie Arch, Chesapeake, VA 23323 |
| Enumerated | July 30, 2025 |
| Last updated | July 30, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 0024170014 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.