MEDICARE: KELLY JEAN LOVE-SCHWARZ FNP-C, AGACNP-BC

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	363LA2100X	Acute Care Nurse Practitioner	0024195270	VA
2	363L00000X	Nurse Practitioner	0024195270	VA
3	163W00000X	Registered Nurse	0001255636	VA
4	363LF0000X	Family Nurse Practitioner	0024195270	VA

General Provider Information

NPI Number	:	1316725591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLY JEAN LOVE-SCHWARZ FNP-C, AGACNP-BC

Provider Business Mailing Address
First Line	:	3079 S JAMES RIVER HWY
Second Line	:
City	:	WINGINA
State	:	VA
Zip	:	24599-3159
Country	:	US
Telephone Number	:	434-390-3364
Fax Number	:

Provider Business Practice Location Address
First Line	:	1883 ANDERSON HWY
Second Line	:
City	:	CUMBERLAND
State	:	VA
Zip	:	23040-2525
Country	:	US
Telephone Number	:	434-694-8727
Fax Number	:	434-201-2253

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2023
Last Update Date	:	01/11/2026

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