Jessica Diane Corder - Portsmouth, VA

Jessica Diane Corder

Military Health Care Provider in Portsmouth, Virginia

NPI 1518547066

Jessica Diane Corder is a Military Health Care Provider based in Jacksonville, VA. Jessica Diane Corder practices in Portsmouth, VA. The NPI Number for Jessica Diane Corder is 1518547066 and holds a License No. (Virginia).

The current practice location address for Jessica Diane Corder is 620 John Paul Jones Cir, Portsmouth, VA and can be reached out via phone at 757-953-2339.

Location: 620 John Paul Jones Cir, Portsmouth, VA, 32212

NPI Number

1518547066

Provider Name

Jessica Diane Corder

Credential

Provider Entity Type

Individual

Gender

Female

Address

620 John Paul Jones Cir, Portsmouth, VA, 32212

Phone Number

757-953-2339

Fax Number

Provider Enumeration Date

04/09/2021

Last Update Date

03/10/2024

Address

620 John Paul Jones Cir

City

Portsmouth

State

Virginia

Zip

23708-2111

Phone Number

757-953-2339

Fax Number

Address

620 John Paul Jones Cir

City

Portsmouth

State

Virginia

Zip

23708-2111

Phone Number

757-953-2339

Fax Number

Type

Other Service Providers

Classification

Military Health Care Provider

Speciality

Taxonomy

171000000X

License No.

()

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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