Katy Marie Jackson Wiggins, Registered Nurse
Registered Nurse, Continuing Education/Staff Development in Chester, VA. Individual provider (NPI-1).
NPI number1982127247
StatusActive
Last updated in NPPESJul 19, 2017
Details
- NPI
- 1982127247
- Entity type
- Individual (NPI-1)
- Name
- Katy Marie Jackson Wiggins
- Credential
- Registered Nurse
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 19, 2017
- Last updated
- Jul 19, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC1600X | Registered Nurse, Continuing Education/Staff Development | 0001222327 | VA | Yes |
Practice location
12801 Iron Bridge RdChester, VA 23831-1669
Phone 804-748-9071
Mailing address
9309 Pole Run RdDisputanta, VA 23842-5524
Phone 804-712-0855
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