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Individual

JONATHAN ALEXANDER HULL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
6160 KEMPSVILLE CIR, SUITE 200B, NORFOLK, VA 23502-3933
(757) 321-3383
(757) 321-3332
Mailing address
230 CLEARFIELD AVE, SUITE 124, VIRGINIA BEACH, VA 23462-1832
(757) 321-3383
(757) 321-3332

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004319
VA
363A00000X
Physician Assistant
2175
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1101193
NCCPA
Enumeration date
06/15/2012
Last updated
09/23/2015
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