Individual
JENNIFER LEIGH DRYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1101 FIRST COLONIAL RD STE 300, VIRGINIA BEACH, VA 23454-2409
(757) 395-1760
(757) 756-5418
Mailing address
1101 FIRST COLONIAL RD STE 300, VIRGINIA BEACH, VA 23454-2409
(757) 395-1760
(757) 756-5418
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024166877
VA
363LF0000X
Family Nurse Practitioner
Primary
0024166877
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001171704
RN LICENSE
VA
01
—
0024166877
NP LICENSE
VA
01
—
10017919N
OPTIMA/SENTARA
VA
05
—
1134293376
—
VA
Enumeration date
11/20/2006
Last updated
05/24/2024
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