Individual
JESSICA LARKIN BOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1015 SPRING CREEK PKWY, ZION CROSSROADS, VA 22942-7019
(434) 243-9466
Mailing address
1015 SPRING CREEK PKWY, ZION CROSSROADS, VA 22942-7019
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
0001301503
VA
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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