Individual
MRS. JEAN L WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1931 MEDICAL AVE, HARRISONBURG, VA 22801-3437
(540) 689-5600
(540) 689-5601
Mailing address
PO BOX 1430, HARRISONBURG, VA 22803-1430
(540) 564-5600
(540) 564-5601
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024167672
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669448486
—
VA
Enumeration date
02/23/2006
Last updated
06/10/2019
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