NPI 1154733145 · live from the CMS NPI Registry
Jeanne Kathleen Aggabao
Nurse Practitioner, Family in Richmond, VA. National Provider Identifier 1154733145, active.
NPI record
| NPI | 1154733145 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 3900 Hull Street Rd, Richmond, VA 23224 |
| Practice phone | 804-292-7620 |
| Mailing address | Po Box 746871, Atlanta, GA 30374 |
| Enumerated | May 23, 2014 |
| Last updated | September 6, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 0024171689 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.