Individual
JACKIE S O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1000 N SHENANDOAH AVE, FRONT ROYAL, VA 22630-3547
(540) 636-0291
Mailing address
1000 N SHENANDOAH AVE, FRONT ROYAL, VA 22630-3547
(540) 636-0291
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0024164990
VA
Other
Enumeration date
05/15/2006
Last updated
01/18/2008
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