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Individual

JESSICA LYNN HAYMAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, AGACNP-BC

Contact information

Practice address
2001 CRYSTAL SPRING AVE SW STE 201, ROANOKE, VA 24014-2465
(540) 853-0100
(540) 853-0100
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5353
(571) 423-5698

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024175033
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
0024175033
VA

Other

Enumeration date
07/05/2017
Last updated
02/03/2025
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