Provider Demographics
NPI:1497805576
Name:APPERSON, JENNIFER M (PHD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:M
Last Name:APPERSON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 MILNWOOD RD # B
Mailing Address - Street 2:
Mailing Address - City:FARMVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23901-2817
Mailing Address - Country:US
Mailing Address - Phone:434-315-8813
Mailing Address - Fax:434-315-5913
Practice Address - Street 1:200 MILNWOOD RD # B
Practice Address - Street 2:
Practice Address - City:FARMVILLE
Practice Address - State:VA
Practice Address - Zip Code:23901-2817
Practice Address - Country:US
Practice Address - Phone:434-315-8813
Practice Address - Fax:434-315-5913
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1538103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IPO38163OtherGREENSPRING
081805OtherSENTARA
140489OtherANTHEM
031132OtherVALUEOPTIONS