Waters, Jean L

Waters, Jean L is an individual health care provider with primary practice located at 1931 Medical Ave , Harrisonburg VA 22801-3437. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Waters, Jean L can be contacted via phone (540) 689-5600.

Contact Information

Primary practice address
1931 Medical Ave Harrisonburg VA 22801-3437
Phone: (540) 689-5600
Fax: (540) 689-5601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024167672 Virginia

Profile Details

NPI number 1669448486
LBN Legal business name Waters, Jean L
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jun 10th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669448486 NPPES
Virginia MEDICAID 1669448486

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