Individual
JESSICA MARIE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
223 W 35TH ST, NORFOLK, VA 23504-1302
(757) 288-3093
Mailing address
223 W 35TH ST, NORFOLK, VA 23504-1302
(757) 288-3093
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
1401135473
VA
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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