Individual provider · Type 1 NPI
Jennifer R. Tyson, NP
Gerontology Nurse Practitioner · Kilmarnock, VA
NPI number
1134964307
Active
Practice location
107 Dmv Dr
Kilmarnock, VA 22482-3843
Fax (804) 435-6695
Mailing address
PO Box 1599
Kilmarnock, VA 22482-1599
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 0024190467 (VA) |
Gerontology Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1134964307
Jennifer R. Tyson, NP's National Provider Identifier is 1134964307, issued on Jun 28, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Kilmarnock, VA. The record was last updated on Jun 28, 2024.