NPI 1265557268

Jennifer Lynn Main

Practitioner Other Technician Big Stone Gap, VA

Practice location

Address: 622 Powell Avenue Developmental Services, Big Stone Gap, VA 24219
Phone: (276) 523-0682
Fax: (276) 523-0684
Mailing address: PO Box 9054, Gray, TN 37615-9054

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Virginia →

Registry record

NPI: 1265557268
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Mar 2007
Record last updated: 8 Jul 2007

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.