Individual
JAMIE CARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
417 N 11TH ST, RICHMOND, VA 23298-5002
(804) 628-3760
Mailing address
417 N 11TH ST, RICHMOND, VA 23298-5002
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024177162
VA
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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