Individual
ARIELLE RENEE FANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
134 HILL ST, JONESVILLE, VA 24263-7965
(276) 346-2011
(276) 346-0401
Mailing address
PO BOX 704, DRYDEN, VA 24243-0704
(423) 579-9448
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024186202
VA
Other
Enumeration date
02/23/2023
Last updated
03/03/2023
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