Individual
JONETTE TALBOTT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2212 WILBORN AVE, SOUTH BOSTON, VA 24592-1630
(434) 572-8921
(434) 572-2063
Mailing address
2212 WILBORN AVE, SOUTH BOSTON, VA 24592
(434) 572-8921
(434) 572-2063
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35419N
OPTIMA
VA
Enumeration date
03/09/2006
Last updated
07/08/2007
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