Individual
JENNIFER JO WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1970 ROANOKE BLVD BLDG 11, SALEM, VA 24153-6478
(540) 982-2463
Mailing address
1970 ROANOKE BLVD BLDG 11, SALEM, VA 24153-6478
(540) 982-2463
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024180831
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD000
UPIN
HI
Enumeration date
07/27/2017
Last updated
07/24/2023
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