Individual
JONELLE ALICIA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7101 JAHNKE RD, RICHMOND, VA 23225-4044
(804) 483-0000
Mailing address
7101 JAHNKE RD, RICHMOND, VA 23225-4044
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101282220
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/15/2021
Last updated
06/20/2024
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