NPI 1033988753

Jared Stover

Practitioner Military Health Care Provider Portsmouth, VA

Practice location

Address: 620 John Paul Jones Cir, Portsmouth, VA 23708-2111
Phone: (757) 953-2518
Mailing address: 5325 S Palmyra Dr, Virginia Beach, VA 23462-5928

Registered specialties (2)

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X Licence 0116039218 (VA)

Other Military Health Care Provider providers in Virginia →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Virginia →

Registry record

NPI: 1033988753
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Dec 2023
Record last updated: 4 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.