Individual
JENNIFER BUCKNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28 ABBY RD, PALMYRA, VA 22963-2085
(434) 589-2278
Mailing address
28 ABBY RD, PALMYRA, VA 22963-2085
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024182224
VA
Other
Enumeration date
08/26/2021
Last updated
11/29/2021
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