Individual provider · Type 1 NPI

Jessica Carleen Funicello, DC

Chiropractor · Forest, VA

NPI number 1114068525 Active

Practice location

306 Enterprise Dr Ste B
Forest, VA 24551-2644

Mailing address

320 Riverside Dr
Lynchburg, VA 24503-1319

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000X7487 (AZ)
Chiropractor Primary 111N00000X0104556526 (VA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

2 other providers at this address

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About NPI 1114068525

Jessica Carleen Funicello, DC's National Provider Identifier is 1114068525, issued on Feb 9, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Forest, VA. The record was last updated on Aug 9, 2007.