Individual
JENNIFER LYNN METHENY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 LEE ST, NICU, CHARLOTTESVILLE, VA 22908-0816
(434) 924-2335
Mailing address
1215 LEE ST, NICU, CHARLOTTESVILLE, VA 22908-0816
(434) 924-2335
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
0024168581
VA
Other
Enumeration date
12/18/2009
Last updated
05/09/2019
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