Individual
LAILA Q JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
16 DELFAE DR, WARSAW, VA 22572-4281
(804) 333-6400
(804) 333-3796
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 594-2195
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024165756
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548457815
—
VA
Enumeration date
10/01/2007
Last updated
05/11/2011
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