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Individual

MARTHA A JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3300 ACADEMY AVE, PORTSMOUTH, VA 23703-3205
(757) 483-6404
(757) 483-0737
Mailing address
2 EBB TIDE LNDG, POQUOSON, VA 23662-1334
(757) 868-0123
(757) 483-2370

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024166854
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010261121
VA
Enumeration date
06/16/2006
Last updated
11/28/2014
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