SearchVirginia106S00000X

Jennifer Jack

NPI 1386182368 · on the registry since 2017 · sole proprietor

Practice

Address
729 N Greenbrier Ave
Covington, VA 24426
Phone
(540) 691-9655

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-02-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia