Individual
JENNA M. ALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AG-ACNP-BC
Contact information
Practice address
1240 LEE ST, CHARLOTTESVILLE, VA 22908-0001
(800) 223-9173
(434) 243-6086
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024174559
VA
Other
Enumeration date
02/16/2017
Last updated
05/29/2019
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