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Individual

JESSICA HALLAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2001 CRYSTAL SPRING AVE SW, ROANOKE, VA 24014-2462
(540) 982-8201
(540) 224-1059
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5352

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001231806
VA
363LF0000X
Family Nurse Practitioner
Primary
0024180237
VA

Other

Enumeration date
03/26/2019
Last updated
12/29/2022
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