Individual
JAIME WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
217 S INDEPENDENCE AVE, INDEPENDENCE, VA 24348-2802
(276) 773-2063
Mailing address
55 SUNSET LN, INDEPENDENCE, VA 24348-4022
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024176828
VA
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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