Individual
JENNIFER ECCLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1240 LEE ST, CHARLOTTESVILLE, VA 22908-0817
(434) 924-9333
(434) 244-7526
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005132
VA
Other
Enumeration date
04/09/2014
Last updated
08/09/2023
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