Individual
JESSICA LEE WESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1000 E BROAD ST, RICHMOND, VA 23219-1930
(804) 828-2467
(804) 527-4728
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024167819
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001205468
REGISTERED NURSE
—
01
—
0017139151
LICENSE TO PRESCRIBE
—
01
—
0024167819
LICENSED NURSE PRACTITIONER
—
01
—
C06778
GROUP PTAN
VA
Enumeration date
10/02/2008
Last updated
03/17/2018
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