Individual
MR. JIMMIE GERALD RIFFLE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1326 E LITTLE CREEK RD, NORFOLK, VA 23518-3952
(757) 772-6122
Mailing address
1326 E LITTLE CREEK RD, NORFOLK, VA 23518-3952
(757) 772-6122
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
75563
WV
363LF0000X
Family Nurse Practitioner
Primary
0024179960
VA
363LF0000X
Family Nurse Practitioner
103914
WV
Other
Enumeration date
09/10/2016
Last updated
02/07/2025
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