Individual
JESSICA CANCRYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4660 KENMORE AVE STE 1100, ALEXANDRIA, VA 22304-1311
(703) 370-0073
(757) 343-2002
Mailing address
4660 KENMORE AVE STE 1100, ALEXANDRIA, VA 22304-1311
(703) 370-0073
(757) 343-2002
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001308048
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001308048
COMMERCIAL INSURANCE
VA
Enumeration date
06/01/2022
Last updated
06/01/2022
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