Individual
VANDA GIBSON JAGGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-5232
(757) 953-7478
Mailing address
4615 OLDE STONE WAY, CHESAPEAKE, VA 23321-6174
(757) 810-9402
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN080820
GA
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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