Individual
MISS JANE ANN KROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
500 DISCOVERY DR, CHESAPEAKE, CHESAPEAKE, VA 23320-3871
(757) 668-2500
(757) 668-2510
Mailing address
500 DISCOVERY DR, CHESAPEAKE, CHESAPEAKE, VA 23320-3871
(757) 668-2500
(757) 668-2510
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
24102391
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0778849
—
VA
05
—
7004780
—
NC
01
—
96630N
OPTIMA HEALTH
VA
Enumeration date
07/11/2006
Last updated
01/10/2013
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