Individual
KRISTIN L LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 243-4288
(434) 243-7310
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0024188470
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
0024188470
VA
Other
Enumeration date
06/18/2024
Last updated
08/30/2024
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