Provider Demographics
NPI:1245044122
Name:O'NEILL, JENNIFER (NBCHWC)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:
Last Name:O'NEILL
Suffix:
Gender:F
Credentials:NBCHWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4695 OLD BUCKINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:POWHATAN
Mailing Address - State:VA
Mailing Address - Zip Code:23139-6810
Mailing Address - Country:US
Mailing Address - Phone:804-397-9835
Mailing Address - Fax:
Practice Address - Street 1:4695 OLD BUCKINGHAM RD
Practice Address - Street 2:
Practice Address - City:POWHATAN
Practice Address - State:VA
Practice Address - Zip Code:23139-6810
Practice Address - Country:US
Practice Address - Phone:804-397-9835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach