Individual
MRS. JERE' S KITCHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1807 HUGUENOT RD, SUITE 101, MIDLOTHIAN, VA 23113-5604
(804) 378-7373
(804) 378-7728
Mailing address
1529 HUGUENOT RD STE A, MIDLOTHIAN, VA 23113-2426
(804) 378-7373
(804) 378-7728
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024165223
VA
Other
Enumeration date
02/20/2007
Last updated
04/11/2016
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