Individual
DR. JENNIFER A CARDONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13855 COURTHOUSE RD, DINWIDDIE, VA 23841-2254
(804) 469-3731
(804) 469-5307
Mailing address
13855 COURTHOUSE RD, DINWIDDIE, VA 23841-2254
(804) 469-3731
(804) 320-6636
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101055260
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1143652
FIRST HEALTH ID
VA
01
—
13630
CIGNA ID
VA
01
—
1952390858
NPI
VA
05
—
1952390858
—
VA
01
—
203349
SOUTHERN HEALTH ID
VA
01
—
2116450
MAMSI ID
VA
01
—
236373
ANTHEM ID
VA
01
—
541549651
UNITED HEALTHCARE ID
VA
01
—
5514502
AENTA/USH HEALTHCARE ID
VA
Enumeration date
10/14/2005
Last updated
05/22/2019
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