Individual
MS. CAROLYN E JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PMHNP
Contact information
Practice address
1200 E BROAD ST, WEST HOSPITAL, 11TH FLOOR, RICHMOND, VA 23298-5058
(804) 828-9915
(804) 828-9906
Mailing address
17163 KATY LN, BEAVERDAM, VA 23015-1785
(804) 449-1591
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024165546
VA
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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