Individual
JUANITA ROSE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
600 GRESHAM DR FL 7, NORFOLK, VA 23507-1904
(757) 388-3447
Mailing address
600 GRESHAM DR FL 7, NORFOLK, VA 23507-1904
(757) 388-3447
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024173131
VA
Other
Enumeration date
06/03/2016
Last updated
05/06/2024
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