Most Relevant Information
Provider Data
| NPI Number: | 1003377805 |
| Provider Name: | JESSICA HALLAM RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 0001231806 |
Most Important Dates
| Enumeration Date: | 03/26/2019 |
| Last Updated: | 12/29/2022 |
Provider Practice Location
2001 CRYSTAL SPRING AVE SW
ROANOKE
VA
240142462
Practice Location Phone/Fax
| Phone: | 5409828201 |
| Fax: | 5402241059 |
Provider Mailing Location
213 S JEFFERSON ST STE 1006
ROANOKE
VA
240111713
Provider Mailing Phone/Fax
| Phone: | 5402245352 |
| Fax: |