| Jenniferthompson Fnp-bc Llc | |
|
10500 Wakeman Dr Ste 105 Fredericksburg VA 22407-8012 | |
| (540) 358-8725 | |
| (540) 242-3426 |
| Full Name | Jenniferthompson Fnp-bc Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 10500 Wakeman Dr Ste 105, Fredericksburg, Virginia |
| Authorized Official Name and Position | Jennifer Thompson (OWNER/PARTNER) |
| Authorized Official Contact | 5404244013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenniferthompson Fnp-bc Llc 10500 Wakeman Dr Ste 105 Fredericksburg VA 22407-8012 Ph: (540) 358-8725 | Jenniferthompson Fnp-bc Llc 10500 Wakeman Dr Ste 105 Fredericksburg VA 22407-8012 Ph: (540) 358-8725 |
| NPI Number | 1649991167 |
|---|---|
| Provider Enumeration Date | 09/05/2022 |
| Last Update Date | 09/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649991167 | NPI | - | NPPES |
| 1508940214 | Other | VA | INDIVIDUAL NPI |
| 1508940214 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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