Individual provider · Type 1 NPI
Jacqueline Bowser-Knight
Clinic/Center · Chesapeake, VA
NPI number
1760246433
Active
Practice location
805 Live Oak Dr Ste 103
Chesapeake, VA 23320-2672
Mailing address
4742 Brians Way
Chesapeake, VA 23321-4489
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 1236001353 (VA) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
About NPI 1760246433
Jacqueline Bowser-Knight's National Provider Identifier is 1760246433, issued on Feb 12, 2024. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Chesapeake, VA. The record was last updated on Feb 12, 2024.