Jill S Storment, AGPCNP
Nurse Practitioner, Primary Care in King William, VA. Individual provider (NPI-1).
NPI number1669945663
StatusActive
Last updated in NPPESFeb 5, 2025
Details
- NPI
- 1669945663
- Entity type
- Individual (NPI-1)
- Name
- Jill S Storment
- Credential
- AGPCNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 2, 2019
- Certification date
- Feb 5, 2025
- Last updated
- Feb 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | 0024177236 | VA | Yes |
| 363LA2200X | Nurse Practitioner, Adult Health | 0024177236 | VA |
Practice location
1041 Sharon Rd Ste 205King William, VA 23086-3344
Phone 804-769-3096 · Fax 804-769-3170
Mailing address
1041 Sharon Rd Ste 205King William, VA 23086-3344
Phone 804-769-3096 · Fax 804-769-3170
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