Provider Demographics
NPI:1952722332
Name:ALBANO, JYNNIFER LOUISE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:JYNNIFER
Middle Name:LOUISE
Last Name:ALBANO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:JYNNIFER
Other - Middle Name:L
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:20280 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:ONANCOCK
Mailing Address - State:VA
Mailing Address - Zip Code:23417-1331
Mailing Address - Country:US
Mailing Address - Phone:757-414-0400
Mailing Address - Fax:757-414-0569
Practice Address - Street 1:22214 SOUTH BAYSIDE ROAD
Practice Address - Street 2:
Practice Address - City:CHERITON
Practice Address - State:VA
Practice Address - Zip Code:23316
Practice Address - Country:US
Practice Address - Phone:757-331-1086
Practice Address - Fax:757-331-1129
Is Sole Proprietor?:No
Enumeration Date:2014-01-02
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001195965163W00000X
VA0024171295163WG0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice