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Individual

JESSICA BERNABE-BENTIVOGLIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
135 HALL AVE, SUITE A, SUFFOLK, VA 23434-4657
(757) 514-4700
(757) 514-4873
Mailing address
135 HALL AVE, SUITE A, SUFFOLK, VA 23434-4657
(757) 514-4700
(757) 514-4873

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024172936
VA
367A00000X
Advanced Practice Midwife
Primary
CNM2740
VA

Other

Enumeration date
11/12/2015
Last updated
07/29/2016
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