Individual
JEFFREY BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1881 UNIVERSITY DR, VIRGINIA BEACH, VA 23453-8083
(757) 683-4297
Mailing address
120 PEYTON RANDOLPH DR, YORKTOWN, VA 23692-2307
(720) 670-0699
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001263148
VA
363LF0000X
Family Nurse Practitioner
Primary
2024041817
VA
Other
Enumeration date
06/10/2024
Last updated
01/14/2025
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