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Individual

MRS. JEMECIA C BRAXTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
100 EMANCIPATION DR, HAMPTON, VA 23667-0001
(757) 722-9961
(757) 728-7120
Mailing address
4 LONG BRIDGE RD, HAMPTON, VA 23669-2019
(757) 814-1335

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024166446
VA

Other

Enumeration date
06/04/2008
Last updated
06/04/2008
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