Individual
JACQUELINE WETHERBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, FNP-C
Contact information
Practice address
10521 SHADY LN, CHARLES CITY, VA 23030-2847
(678) 333-8061
Mailing address
10521 SHADY LN, CHARLES CITY, VA 23030-2847
(678) 333-8061
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024177692
VA
Other
Enumeration date
07/11/2019
Last updated
03/22/2021
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