Most Relevant Information
Provider Data
| NPI Number: | 1003410218 |
| Provider Name: | JESSICA GREGORY NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 0024180251 |
Most Important Dates
| Enumeration Date: | 11/28/2020 |
| Last Updated: | 11/28/2020 |
Provider Practice Location
1210 PROGRESSIVE DR STE 101
CHESAPEAKE
VA
233202849
Practice Location Phone/Fax
| Phone: | 7579910190 |
| Fax: |
Provider Mailing Location
3912 HUNTLEY WAY APT 207
VIRGINIA BEACH
VA
234561697
Provider Mailing Phone/Fax
| Phone: | 7574488901 |
| Fax: |