MEDICARE: JVRX, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171W00000X	Contractor

General Provider Information

NPI Number	:	1932893484
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JVRX, LLC

Provider Business Mailing Address
First Line	:	882 JACKSONVILLE RD
Second Line	:
City	:	IVYLAND
State	:	PA
Zip	:	18974-4807
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	882 JACKSONVILLE RD
Second Line	:
City	:	IVYLAND
State	:	PA
Zip	:	18974-4807
Country	:	US
Telephone Number	:	610-220-4374
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MS. KERRI DEVANEY
Credential	:
Telephone Number	:	610-220-4374

Provider Enumeration Date	:	06/07/2023
Last Update Date	:	06/07/2023

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