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Individual

JESSIKA NIKHOLE SCHOTTELKOTTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
245 MEDICAL PARK DR., MARION, VA 24354
(276) 378-1000
Mailing address
245 MEDICAL PARK DR, MARION, VA 24354-1100

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024170726
VA
363LF0000X
Family Nurse Practitioner
Primary
17537
TN
363LF0000X
Family Nurse Practitioner
904604
MS
363LF0000X
Family Nurse Practitioner
AP08741
LA

Other

Enumeration date
04/04/2013
Last updated
01/04/2023
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