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Individual

JENNIFER KNOWLTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, WHNP-BC

Contact information

Practice address
1101 MADISON PLZ STE 103, CHESAPEAKE, VA 23320-5179
(757) 436-4111
Mailing address
1101 MADISON PLZ STE 103, CHESAPEAKE, VA 23320-5179
(757) 436-4111

Taxonomy

Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
0001178538
VA
363LW0102X
Women's Health Nurse Practitioner
Primary
0024188453
VA

Other

Enumeration date
04/27/2023
Last updated
12/24/2023
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