Individual
JENNIFER MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 594-2000
Mailing address
3441 DANA LN, VIRGINIA BEACH, VA 23452-4046
(757) 606-7278
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001214100
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024182358
VA
Other
Enumeration date
06/28/2021
Last updated
12/16/2021
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