Organization
HEALTH AND WELLNESS TELEMED PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAPHNE JENKINS FNP (OWNER)
(703) 955-6695
Entity
Organization
Contact information
Practice address
3695 KETCHUM CT, WOODBRIDGE, VA 22193-1064
(703) 955-6695
Mailing address
3695 KETCHUM CT, WOODBRIDGE, VA 22193-1064
(703) 955-6695
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/20/2021
Last updated
09/13/2021
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