Individual
JESSICA L WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
844 KEMPSVILLE RD STE 204, NORFOLK, VA 23502-3927
(757) 461-0700
(757) 461-0701
Mailing address
844 KEMPSVILLE RD STE 204, NORFOLK, VA 23502-3927
(757) 461-0700
(757) 461-0701
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024170450
VA
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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