Individual
JAMIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
340 BAGLEY CIR, MARION, VA 24354-3126
(276) 783-1200
(276) 783-1465
Mailing address
340 BAGLEY CIR, MARION, VA 24354-3126
(276) 783-1200
(276) 783-1465
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024173838
VA
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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