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1780023523
JESSICA S ERICSSON
ROANOKE, VA
NPI
1780023523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024170830)
Enumeration Date
2013-06-14
Last Update Date
2018-07-31
Business Address
JESSICA S ERICSSON MSN- FNP
3 RIVERSIDE CIR
ROANOKE, VA 24016
Phone number: 540-224-5170
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Mailing Address
JESSICA S ERICSSON MSN- FNP
3031 NORTHSIDE RD
ROANOKE, VA 24019-2707
Phone number:
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