Individual
JACK WEISSKOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, FNP-BC
Contact information
Practice address
9950 COURTHOUSE RD, CHARLES CITY, VA 23030-3434
(804) 829-6600
(804) 829-6182
Mailing address
3101 MIDLOTHIAN TPKE, RICHMOND, VA 23224-1925
(703) 282-1297
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024175030
VA
Other
Enumeration date
07/03/2017
Last updated
07/03/2017
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