Individual
JENNIFER T TREACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
401 OYSTER POINT RD STE A, NEWPORT NEWS, VA 23602-6926
(757) 249-3000
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024179389
VA
Other
Enumeration date
06/17/2020
Last updated
06/17/2021
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