Individual
JEANETTE SYLVESTER MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 COMMERCE PARK DR, RAPHINE, VA 24472-2547
(540) 490-2527
Mailing address
111 MAPLE LN, COVINGTON, VA 24426-6115
(540) 998-0633
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024179838
VA
Other
Enumeration date
08/21/2020
Last updated
10/13/2020
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