Doctor Name: | JENNIFER ROBIN WARD |
NPI Number: | 1033182787 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, APRN-BC (ANP) |
License Number: | 0024168305 |
Business Practice Address: | 2800 Godwin Blvd Suffolk, VA - 234348038 |
Business Phone Number: | 7579344538 |
Business Fax Number: | 7579344733 |
Mailing Address: | 2800 Godwin Blvd, SUFFOLK |
State: | VA |
Postal Code: | 234348038 |
Phone Number: | 7579344538 |
Fax Number: | 7579344733 |
NPI Enumeration Date: | 02/10/2006 |
NPI Last Update Date: | 12/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 0024168305 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |