Organization
DPC JEWETT LLC
Active
Other names
Dominion Patient Care Sevices, Dominion Patient Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA P CLARK DNP, FNP-BC (OWNER/MEDICAL DIRECTOR)
(757) 679-6058
Entity
Organization
Contact information
Practice address
702 CITY CENTER BLVD STE C, NEWPORT NEWS, VA 23606-3096
(117) 576-7960
Mailing address
702 CITY CENTER BLVD STE C, NEWPORT NEWS, VA 23606-3096
(175) 767-9605
(757) 926-5465
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
0024171097
VA
Other
Enumeration date
04/04/2017
Last updated
07/19/2022
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