Individual
QUINTINA FOSTER-JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 PLANK ROAD, FREDERICKSBURG, VA 22407
(540) 785-9900
(540) 785-9960
Mailing address
P.O BOX 3910, FREDERICKSBURG, VA 22402
(540) 785-9900
(540) 785-9960
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024173538
VA
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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