Most Relevant Information
Provider Data
| NPI Number: | 1003543984 |
| Provider Name: | JESSY A NWUBA DNP, FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 350991 |
Most Important Dates
| Enumeration Date: | 08/02/2022 |
| Last Updated: | 04/01/2023 |
Provider Practice Location
3611 BOULEVARD
COLONIAL HEIGHTS
VA
238341344
Practice Location Phone/Fax
| Phone: | 5715235479 |
| Fax: | 8043748889 |
Provider Mailing Location
3611 BOULEVARD
COLONIAL HEIGHTS
VA
238341344
Provider Mailing Phone/Fax
| Phone: | 5715235479 |
| Fax: | 8043748889 |