Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 0024176343 | VA |
NPI | 1003392788 |
---|---|
Provider Name | Jennifer J. Cox |
First Address | Richmond, VA 23291-1734 |
Second Address | Richmond, VA 23298-5002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2018 |
Last Update Date | 03/12/2018 |