Provider Demographics
NPI:1790702744
Name:JEWELL, ANN FRANCES (MS, CGC)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:FRANCES
Last Name:JEWELL
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 1:102 HIGHLAND AVE SE STE 455
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24013-2202
Mailing Address - Country:US
Mailing Address - Phone:540-985-9987
Mailing Address - Fax:540-985-9817
Practice Address - Street 1:102 HIGHLAND AVE SE STE 455
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24013-2202
Practice Address - Country:US
Practice Address - Phone:540-985-9987
Practice Address - Fax:540-985-9817
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS