Individual
JAY B SANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1818 AMHERST ST, WINCHESTER, VA 22601-2869
(540) 450-0072
(540) 450-0074
Mailing address
1818 AMHERST ST, WINCHESTER, VA 22601-2869
(540) 450-0072
(540) 450-0074
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0017137339
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215917414
—
VA
05
—
7102150000
—
WV
01
—
P00657233
MEDICARE RR
VA
Enumeration date
01/23/2006
Last updated
02/10/2009
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