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Individual

JENNIFER LYNNE NARRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
4125 IRONBOUND RD STE 100, WILLIAMSBURG, VA 23188-2666
(919) 258-2714
(410) 648-4878
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(919) 258-2714
(410) 648-4878

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305204725
VA
225100000X
Physical Therapist
Primary
2305204729
VA
225100000X
Physical Therapist
P12053
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010296773
VA
01
192951
BCBS PHYSICAL THERAPY
VA
01
7462831
AETNA
VA
01
P00361691
MEDICARE RAILROAD
VA
Enumeration date
08/12/2006
Last updated
10/14/2021
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