Individual provider · NPI-1

Jeanne Kathleen Aggabao

Nurse Practitioner, Family · Richmond, VA

NPI number1154733145
StatusActive
Last updated in NPPESSep 6, 2024

Details

NPI
1154733145
Entity type
Individual (NPI-1)
Name
Jeanne Kathleen Aggabao
Sex
Female
Sole proprietor
Yes
Enumeration date
May 23, 2014
Certification date
Sep 6, 2024
Last updated
Sep 6, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family0024171689VAYes

Practice location

3900 Hull Street Rd
Richmond, VA 23224-1714

Phone 804-292-7620

Mailing address

Po Box 746871
Atlanta, GA 30374-6871

Other practice locations

3514 W Cary St
Richmond, VA 23221-2729

Phone 804-355-8533

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