Mrs Jenna Amos, FNP-C | |
1201 Lake James Dr Ste 200, Virginia Beach, VA 23464-6780 | |
(757) 523-0022 | |
Not Available |
Full Name | Mrs Jenna Amos |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1201 Lake James Dr Ste 200, Virginia Beach, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740632769 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP60669356 (Washington) | Secondary |
363LF0000X | Nurse Practitioner - Family | 0024176071 (Virginia) | Primary |
Entity Name | Privia Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jenna Amos, FNP-C 3504 Hadley Ct, Chesapeake, VA 23323-1263 Ph: () - | Mrs Jenna Amos, FNP-C 1201 Lake James Dr Ste 200, Virginia Beach, VA 23464-6780 Ph: (757) 523-0022 |
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Stephanie Cole Oldfield, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 Clearfield Ave, Virginia Beach, VA 23462 Phone: 757-457-5110 Fax: 757-466-3411 | |
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