Individual provider · NPI-1

Jason Sefa Acheampong

Student in an Organized Health Care Education/Training Program · Norfolk, VA

NPI number1649942525
StatusActive
Last updated in NPPESMar 21, 2023

Details

NPI
1649942525
Entity type
Individual (NPI-1)
Name
Jason Sefa Acheampong
Sex
Male
Sole proprietor
No
Enumeration date
Sep 29, 2021
Certification date
Mar 21, 2023
Last updated
Mar 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

600 Gresham Dr Ste 1100
Norfolk, VA 23507-1904

Phone 757-388-6200

Mailing address

600 Gresham Dr Ste 1100
Norfolk, VA 23507-1904

Phone 757-388-6200

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