Individual
JENNIFER L SHARP-WARTHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
860 OMNI BLVD STE 111, NEWPORT NEWS, VA 23606-4430
(757) 369-8138
Mailing address
860 OMNI BLVD STE 128, NEWPORT NEWS, VA 23606-4483
(757) 964-8739
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101038401
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080130534
RR/MEDICARE
—
01
—
250455
ANTHEM
VA
05
—
5661722
—
VA
Enumeration date
08/31/2005
Last updated
02/21/2025
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