Individual
MRS. JESSICA TABOR CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
900A RIO EAST CT, CHARLOTTESVILLE, VA 22901-8040
(434) 975-7777
(434) 975-7774
Mailing address
2381 LONG MEADOW RD, WAYNESBORO, VA 22980-6423
(540) 649-1616
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
024176640
VA
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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