NPI 1811471139 · live from the CMS NPI Registry
Jessica Tabor Cline, CPNP
Nurse Practitioner, Pediatrics in Charlottesville, VA. National Provider Identifier 1811471139, active.
NPI record
| NPI | 1811471139 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 900a Rio East Ct, Charlottesville, VA 22901 |
| Practice phone | 434-975-7777 |
| Mailing address | 2381 Long Meadow Rd, Waynesboro, VA 22980 |
| Enumerated | September 21, 2018 |
| Last updated | September 21, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 024176640 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.