Individual
CHRISTOPHER JACKIE RATLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
116 CENTRE AVE NE, COEBURN, VA 24230
(276) 455-5556
Mailing address
116 CENTRE AVE NE, COEBURN, VA 24230-4023
(276) 455-5556
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024178816
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024178816
STATE LICENSE
VA
Enumeration date
02/07/2020
Last updated
08/06/2024
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