Individual
JENNIFER MENTORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
24 GLOUCESTER RD, STUARTS DRAFT, VA 24477-3321
(540) 337-3710
(540) 337-0930
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024169478
VA
Other
Enumeration date
06/27/2012
Last updated
10/30/2013
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