Individual
DONNA R JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
5201 HICKORY PARK DR STE A, GLEN ALLEN, VA 23059
(804) 262-6060
(804) 262-6422
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9035
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024097043
VA
Other
Enumeration date
09/29/2006
Last updated
03/02/2021
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