Individual
MARY ROSE JAYME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
200 E 5TH ST, CHASE CITY, VA 23924-1456
(434) 372-0900
(434) 363-4258
Mailing address
200 E 5TH ST, CHASE CITY, VA 23924-1456
(434) 372-0900
(434) 363-4258
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024173567
VA
Other
Enumeration date
05/18/2016
Last updated
10/09/2017
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