Individual
JENEA DANIELLE BENNETT-TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1300 SENTARA PARK # 3, VIRGINIA BEACH, VA 23464-5884
(757) 252-3050
Mailing address
6804 WOODLAKE COMMONS LOOP, MIDLOTHIAN, VA 23112-2281
(804) 636-3918
(804) 331-6173
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024176509
VA
363LF0000X
Family Nurse Practitioner
24047
TN
Other
Enumeration date
08/22/2018
Last updated
01/29/2025
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