Healthcare Provider Details

I. General information

NPI: 1467306985
Provider Name (Legal Business Name): JALYNN MONE MABRY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2026
Last Update Date: 02/23/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 BERMUDA HUNDRED RD SUITE 100
CHESTERFIELD VA
23836
US

IV. Provider business mailing address

8309 MENDENHALL PL
MECHANICSVILLE VA
23111-5636
US

V. Phone/Fax

Practice location:
  • Phone: 855-745-5725
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202223226
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: