Individual provider · Type 1 NPI

Jenna R. Lautenbacher, WHNP

Women's Health Nurse Practitioner · Norfolk, VA

NPI number 1588059554 Active

Practice location

825 Fairfax Ave, Suite 310
Norfolk, VA 23507-1914

Fax (757) 446-7464

Mailing address

PO Box 936, Evms Medical Group
Norfolk, VA 23501-0936

Specialties and licenses

TaxonomyCodeLicense
Women's Health Nurse Practitioner Primary 363LW0102X0024172492 (VA)

Women's Health Nurse Practitioner: Definition to come...

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About NPI 1588059554

Jenna R. Lautenbacher, WHNP's National Provider Identifier is 1588059554, issued on Apr 6, 2015. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Norfolk, VA. The record was last updated on Mar 15, 2016.