Organization · NPI-2

Jabuda LLC

Nurse Practitioner · Norfolk, VA

NPI number1942835673
StatusActive
Last updated in NPPESMar 3, 2020

Details

NPI
1942835673
Entity type
Organization (NPI-2)
Legal business name
Jabuda LLC
Organization subpart
No
Enumeration date
Mar 3, 2020
Certification date
Mar 3, 2020
Last updated
Mar 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner––Yes
163WR0006X Registered Nurse, Registered Nurse First Assistant––

Practice location

830 Kempsville Rd
Norfolk, VA 23502-3920

Phone 757-410-8479

Mailing address

1100 Battlefield Blvd S Po Box 16880
Chesapeake, VA 23322-9998

Phone 757-410-8479

Other practice locations

1975 Glenn Mitchell Dr Ste 202
Virginia Beach, VA 23456-0167

Phone 757-410-8479

Authorized official

Jennifer Anne Buda
Fnp-C, Rnfa
7574108479

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