Most Relevant Information
Provider Data
| NPI Number: | 1003200221 |
| Provider Name: | JENNIFER MOORE ANDREWS D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | OS15413 |
Most Important Dates
| Enumeration Date: | 03/25/2015 |
| Last Updated: | 08/08/2023 |
Provider Practice Location
1204 W MAIN ST
CHARLOTTESVILLE
VA
229032824
Practice Location Phone/Fax
| Phone: | 4349240123 |
| Fax: | 4349243300 |
Provider Mailing Location
PO BOX 9007
CHARLOTTESVILLE
VA
229069007
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |