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Individual

DR. JENNIFER B HUMBERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5875 BREMO RD STE 500, RICHMOND, VA 23226-1928
(804) 297-3055
(804) 297-3056
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007

Taxonomy

Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
0101250453
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1589K
BCBSNC
NC
05
1669681094
VA
05
5915249
NC
Enumeration date
05/22/2007
Last updated
10/19/2020
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