NURISHA SHAVON JACK

FORT BELVOIR, VA
NPI1306338363
Other NameNURISHA SHAVON ZENEBE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: VA  0024177805)
Additional Taxonomies176B00000X Midwife
(Licence: MD  R191018)
Enumeration Date2018-06-05
Last Update Date2023-11-21
Business Address
NURISHA SHAVON JACK CNM
9300 DEWITT LOOP
FORT BELVOIR, VA 22060-5285
Phone number: 571-231-3442
Mailing Address
NURISHA SHAVON JACK CNM
9300 DEWITT LOOP
FORT BELVOIR, VA 22060-5285
Phone number: 571-231-3442