Individual
MRS. JACQUELYN ELIZABETH ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3601 OLD HALIFAX RD STE 100, SOUTH BOSTON, VA 24592-4953
(434) 290-1225
Mailing address
225 BRANDON CT, DANVILLE, VA 24541-3507
(704) 764-7439
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024180056
VA
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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