Individual
JENNY COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1520 SLATE CREEK RD, GRUNDY, VA 24614-6975
(276) 242-2001
Mailing address
PO BOX 390, HUNTINGTON, WV 25708-0390
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024180812
VA
Other
Enumeration date
02/02/2021
Last updated
12/08/2022
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