MEDICARE: JENNIFER E SILVA FNP-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
1	363LF0000X	Family Nurse Practitioner	0024190681	VA

General Provider Information

NPI Number	:	1609612761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER E SILVA FNP-C

Provider Business Mailing Address
First Line	:	815 W POYTHRESS ST
Second Line	:
City	:	HOPEWELL
State	:	VA
Zip	:	23860-2532
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3512 BOULEVARD
Second Line	:
City	:	COLONIAL HEIGHTS
State	:	VA
Zip	:	23834-1320
Country	:	US
Telephone Number	:	804-520-1110
Fax Number	:

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

Provider Enumeration Date	:	07/08/2024
Last Update Date	:	08/12/2024

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