Individual
JANE JONES LILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
702 N MAIN ST, EMPORIA, VA 23847-1242
(434) 634-7723
(434) 634-7725
Mailing address
PO BOX 70, VICTORIA, VA 23974-0070
(434) 696-2165
(434) 696-1557
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024166268
VA
363LF0000X
Family Nurse Practitioner
5004287
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010106940
—
VA
05
—
1073561676
—
VA
Enumeration date
05/05/2006
Last updated
04/11/2024
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