Individual
MRS. JESSA R BLOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.G.C.
Contact information
Practice address
880 KEMPSVILLE RD, STE 1000, NORFOLK, VA 23502-3931
(757) 261-5000
(757) 962-5610
Mailing address
880 KEMPSVILLE RD, STE 1000, NORFOLK, VA 23502-3931
(757) 261-5000
(757) 962-5610
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
14235
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02033
MEDICARE GROUP NUMBER
VA
Enumeration date
08/09/2012
Last updated
08/09/2012
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