Individual
JENNIFER WALKER PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1107A BROOKDALE ST, MARTINSVILLE, VA 24112-4501
(276) 670-3300
Mailing address
213 S JEFFERSON ST, ROANOKE, VA 24011-1705
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0001207898
VA
363LF0000X
Family Nurse Practitioner
Primary
0024181461
VA
Other
Enumeration date
06/21/2021
Last updated
07/23/2024
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