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Individual

JEANNETTE M HOLLOWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
816 INDEPENDENCE BLVD, STE 2G, VIRGINIA BEACH, VA 23455-6010
(757) 363-6728
(757) 363-6204
Mailing address
816 INDEPENDENCE BLVD, STE 2G, VIRGINIA BEACH, VA 23455-6010
(757) 363-6728
(757) 363-6204

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
186900
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
186900
NC

Other

Enumeration date
09/05/2012
Last updated
09/14/2012
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