Individual
MRS. JENNIFER LEE RASCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1975 GLENN MITCHELL DR, SUITE 200, VIRGINIA BEACH, VA 23456-0167
(757) 321-3383
(757) 321-3332
Mailing address
230 CLEARFIELD AVE, SUITE 124, VIRGINIA BEACH, VA 23462-1832
(757) 321-3383
(757) 321-3332
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001215163
VA
363LF0000X
Family Nurse Practitioner
Primary
0024171752
VA
Other
Enumeration date
10/08/2014
Last updated
05/16/2016
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