Individual
JACQUELYN RUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8356 BELL CREEK RD, MECHANICSVILLE, VA 23116-3813
(804) 559-5437
Mailing address
6106 ANTLER HILL CT, NEW KENT, VA 23124-2976
(804) 677-2084
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0001203572
VA
363LF0000X
Family Nurse Practitioner
Primary
0024184819
VA
Other
Enumeration date
04/21/2022
Last updated
11/21/2024
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