Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 0024168305 | VA |
NPI | 1033182787 |
---|---|
Provider Name | Jennifer Robin Ward |
First Address | Norfolk, VA 23507-1904 |
Second Address | Norfolk, VA 23507-1904 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2006 |
Last Update Date | 07/01/2022 |