Provider Demographics
NPI:1780661231
Name:PROPST, JENNIFER JOY (MS, CGC)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:JOY
Last Name:PROPST
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 980033
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23298-0033
Mailing Address - Country:US
Mailing Address - Phone:804-628-3510
Mailing Address - Fax:804-828-7094
Practice Address - Street 1:1101 EAST MARSHALL STREET
Practice Address - Street 2:SANGAR HALL, 11TH FLOOR RM11-032
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298
Practice Address - Country:US
Practice Address - Phone:804-628-3510
Practice Address - Fax:804-828-7094
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS