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Individual

JANELLE LOUISE TATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
9930 KINCEY AVE STE 360, HUNTERSVILLE, NC 28078-6541
(704) 316-4830
Mailing address
1413 RAND CT, VIRGINIA BEACH, VA 23464-6461
(757) 282-3816

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5023274
NC
363LF0000X
Family Nurse Practitioner
0024140083
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1285937466
VA
01
540896390
TRICARE
VA
Enumeration date
12/10/2010
Last updated
10/24/2025
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