Individual
JENELLE NURTHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1821 E ST NE, WASHINGTON, DC 20002-4601
(804) 397-9031
Mailing address
1821 E ST NE, WASHINGTON, DC 20002-4601
(804) 397-9031
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005024
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2202005024
—
VA
Enumeration date
12/06/2006
Last updated
08/19/2024
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