Individual
JORDAN E LAREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
70 MEDICAL CENTER CIR STE 302, FISHERSVILLE, VA 22939-2273
(540) 245-7350
(540) 245-7360
Mailing address
PO BOX 388, FISHERSVILLE, VA 22939-0388
(540) 932-5275
(540) 932-5875
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024177918
VA
363LF0000X
Family Nurse Practitioner
F06191745
VA
Other
Enumeration date
07/24/2019
Last updated
11/09/2023
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