Individual
JENNIFER A KIGGANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
825 FAIRFAX AVE STE 201, NORFOLK, VA 23507
(757) 446-7040
(757) 446-7049
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-7040
(757) 446-7049
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
0024170457
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017140770
LICENSE TO PRESCRIBE
VA
01
—
0024170457
NURSE PRACTITIONER LICENSE
VA
05
—
1033463476
—
VA
Enumeration date
11/07/2012
Last updated
07/31/2018
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