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Individual

JEFFRY P GOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AGNP-C

Contact information

Practice address
600 GRESHAM DR STE 8620, NORFOLK, VA 23507-1904
(757) 395-1600
Mailing address
600 GRESHAM DR STE 8620, NORFOLK, VA 23507-1904
(757) 395-1600

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13486
WI
363L00000X
Nurse Practitioner
ARNP9262011
FL
363LA2200X
Adult Health Nurse Practitioner
0024184216
VA
363LA2200X
Adult Health Nurse Practitioner
13486
WI
363LG0600X
Gerontology Nurse Practitioner
0024184216
VA
363LG0600X
Gerontology Nurse Practitioner
13486
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100225487
WI
Enumeration date
08/05/2015
Last updated
06/15/2023
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