Organization
CJS MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILLARY NICOLE MARSHALL (CREDENTIALING SPECIALIST)
(540) 480-6026
Entity
Organization
Contact information
Practice address
705 CLEARVIEW DR, VINTON, VA 24179-3605
(540) 525-5099
Mailing address
306 WESLEY RD, DALEVILLE, VA 24083-3068
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
03/26/2025
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