Individual
JOHNA MOORE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
700 N MAIN ST, SUITE J, BLACKSBURG, VA 24060-3312
(540) 951-7009
(540) 951-5192
Mailing address
700 N MAIN ST, SUITE J, BLACKSBURG, VA 24060-3312
(540) 951-7009
(540) 951-5192
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024169938
VA
Other
Enumeration date
05/18/2012
Last updated
05/18/2012
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