Individual
MRS. ELIZABETH JORDAN WILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
844 KEMPSVILLE RD, SUITE 204, NORFOLK, VA 23502-3927
(757) 261-0700
(757) 962-1254
Mailing address
2075 GLENN MITCHELL DR, STE 400, VIRGINIA BEACH, VA 23456-0179
(757) 252-9365
(757) 962-7217
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024167146
VA
Other
Enumeration date
10/26/2006
Last updated
12/05/2016
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