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Individual

MISS JESSICA LEE BRIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
610 S MARKET ST, SALEM, VA 24153-5012
(540) 404-9637
(540) 404-4146
Mailing address
610 S MARKET ST, SALEM, VA 24153-5012
(540) 404-9637
(540) 404-4146

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001235693
VA
363LG0600X
Gerontology Nurse Practitioner
AG0715012
VA
363LP2300X
Primary Care Nurse Practitioner
Primary
AG0715012
VA

Other

Enumeration date
10/20/2006
Last updated
11/04/2022
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