Individual
JENNIFER DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16000 JOHNSTON MEMORIAL DR, ABINGDON, VA 24211-7664
(844) 488-7827
Mailing address
16000 JOHNSTON MEMORIAL DR, ABINGDON, VA 24211-7664
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24175023
VA
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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