Individual
ASHLEY CADWALLADER JENIEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C-PNP
Contact information
Practice address
28 BLACKWELL PARK LN STE 103, WARRENTON, VA 20186-2686
(540) 349-3225
Mailing address
7422 LEEDS MANOR RD, MARSHALL, VA 20115-2218
(703) 927-6354
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024176234
VA
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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