Jennifer Lee Rascoe, N.P.
Nurse Practitioner, Family in Virginia Beach, VA. Individual provider (NPI-1).
NPI number1699178343
StatusActive
Last updated in NPPESMay 16, 2016
Details
- NPI
- 1699178343
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jennifer Lee Rascoe
- Credential
- N.P.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 8, 2014
- Last updated
- May 16, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 0024171752 | VA | Yes |
| 163W00000X | Registered Nurse | 0001215163 | VA |
Other names
- Jennifer Lee Gregory (Former Name)
Practice location
1975 Glenn Mitchell DrSuite 200
Virginia Beach, VA 23456-0167
Phone 757-321-3383 · Fax 757-321-3332
Mailing address
230 Clearfield AveSuite 124
Virginia Beach, VA 23462-1832
Phone 757-321-3383 · Fax 757-321-3332
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