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NPI Code Detail

MEDICARE: DR. JENNIFER GALLAGHER JONES NP-C

MEDICARE: DR. JENNIFER GALLAGHER JONES NP-C
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
1363LF0000XFamily Nurse Practitioner0024170666VA

General Provider Information

NPI Number : 1497095863
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER GALLAGHER JONES NP-C
Provider Business Mailing Address
First Line : 1708 LEE DR
Second Line :
City : FARMVILLE
State : VA
Zip : 23901-2399
Country : US
Telephone Number : 434-390-5435
Fax Number :
Provider Business Practice Location Address
First Line : 165 LEGRANDE AVE
Second Line :
City : CHARLOTTE COURT HOUSE
State : VA
Zip : 23923-3747
Country : US
Telephone Number : 434-542-5560
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2013
Last Update Date : 08/20/2024

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