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Individual

MS. JUDY A. WESSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
825 FAIRFAX AVE, SUITE 572, NORFOLK, VA 23507-1914
(757) 446-8999
(757) 446-7922
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-8999
(757) 446-7922

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001079916
VA
363LF0000X
Family Nurse Practitioner
Primary
0024079916
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007784562
VA
01
03999
BC/BS
NC
05
7003999
NC
01
95836N
SENTARA
VA
01
PAR
CORVEL/CORCARE
VA
Enumeration date
03/08/2006
Last updated
06/08/2016
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