Individual
JENNIFER LYNN LADEVEZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2900 SABRE ST STE 300, VIRGINIA BEACH, VA 23452-7380
(757) 222-0300
Mailing address
1917 HAVILAND DR, VIRGINIA BEACH, VA 23454-6704
(757) 646-5437
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024175425
VA
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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