Individual
JESSICA GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1210 PROGRESSIVE DR STE 101, CHESAPEAKE, VA 23320-2849
(757) 991-0190
Mailing address
3912 HUNTLEY WAY APT 207, VIRGINIA BEACH, VA 23456-1697
(757) 448-8901
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024180251
VA
Other
Enumeration date
11/28/2020
Last updated
11/28/2020
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