Individual
KELLY JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
811 E CITY HALL AVE, NORFOLK, VA 23510-2714
(757) 664-4700
Mailing address
488 CRONIN RD, VIRGINIA BEACH, VA 23452-2439
(757) 472-4192
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024187575
VA
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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