Individual
JORDAN FAITH DAMIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1300 MACTAVISH AVE, RICHMOND, VA 23230-4633
(804) 977-5900
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024175038
VA
Other
Enumeration date
11/24/2017
Last updated
11/24/2017
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