Healthcare Provider Details

I. General information

NPI: 1861981409
Provider Name (Legal Business Name): JENNIFER L FOLLETT FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER L COMBS

II. Dates (important events)

Enumeration Date: 05/09/2018
Last Update Date: 05/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2025 TATE SPRINGS RD
LYNCHBURG VA
24501-1116
US

IV. Provider business mailing address

823 SARDIS RD
AMHERST VA
24521-3520
US

V. Phone/Fax

Practice location:
  • Phone: 434-200-3600
  • Fax:
Mailing address:
  • Phone: 434-944-3997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024175692
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: