NPI 1124809611

Jacqueline Neville

Practitioner Contractor Suffolk, VA

Practice location

Address: 1161 Nansemond Pkwy Trlr 204, Suffolk, VA 23434-2250
Phone: (757) 718-7432
Fax: (757) 257-3007

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1124809611
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Oct 2023
Record last updated: 10 Oct 2023

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.