Individual
JACKI L DELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LFNP-C, CNOR, CRNFA
Contact information
Practice address
1708 FALL HILL AVE, SUITE 100, FREDERICKSBURG, VA 22401-3511
(540) 371-1226
(540) 371-2049
Mailing address
1708 FALL HILL AVE, SUITE 100, FREDERICKSBURG, VA 22401-3511
(540) 371-1226
(540) 371-2049
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
0001155621
VA
363LF0000X
Family Nurse Practitioner
Primary
0024172709
VA
Other
Enumeration date
07/02/2015
Last updated
10/02/2015
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