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Individual

JAIMEE LEE CARROLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
21 CONSTITUTION AVE, PORTSMOUTH, VA 23704-1559
(757) 319-8752
Mailing address
21 CONSTITUTION AVE, PORTSMOUTH, VA 23704-1559
(757) 319-8752

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24194367
VA

Other

Enumeration date
08/22/2025
Last updated
08/22/2025
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