Individual
JENNIFER CARMEN WIDENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
389 FALLS DR NW, ABINGDON, VA 24210-8093
(276) 623-0740
(276) 623-0660
Mailing address
389 FALLS DR NW, ABINGDON, VA 24210-8093
(276) 623-0740
(276) 623-0660
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024170943
VA
Other
Enumeration date
06/26/2013
Last updated
11/15/2017
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