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Individual

BETH ANN JAEGER-LANDIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
1222 JEFFERSON PARK AVE, 3RD FLOOR, CHARLOTTESVILLE, VA 22903-3410
(434) 924-1931
(434) 924-1138
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024165025
VA

Other

Enumeration date
05/17/2007
Last updated
07/16/2014
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