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Individual

PROF. NANCY JALLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RNC FNP-BC, WHNP-BCI

Contact information

Practice address
604 DAM LAKE CT, WILLIAMSBURG, VA 23185-2796
(757) 846-7510
Mailing address
604 DAM LAKE CT, WILLIAMSBURG, VA 23185-2796
(757) 846-7510

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024092554
VA
364SP1700X
Perinatal Clinical Nurse Specialist
0015000310
VA

Other

Enumeration date
07/14/2014
Last updated
07/14/2014
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