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Individual

JOVIELLE MAIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2001 CRYSTAL SPRING AVE SW STE 201, ROANOKE, VA 24014-2465
(540) 853-0100
(540) 342-9308
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
ARNP9325743
FL
363LA2100X
Acute Care Nurse Practitioner
RN315306
GA
363LG0600X
Gerontology Nurse Practitioner
Primary
0024195078
VA

Other

Enumeration date
05/21/2018
Last updated
02/18/2026
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