Individual
MRS. JENNIFER S O'CONNORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4012 RAINTREE RD, RENAISSANCE PEDIATRICS, CHESAPEAKE, VA 23321-3741
(757) 488-2223
(757) 488-8398
Mailing address
4012 RAINTREE RD, RENAISSANCE PEDIATRICS, CHESAPEAKE, VA 23321-3741
(757) 488-2223
(757) 488-8398
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0017001437
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007783159
—
VA
Enumeration date
09/13/2005
Last updated
04/05/2011
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