| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KIERRA JAMBRE' SEWELL | 1194309807 | 2021-05-09 |
Kierra Jambre' Sewell is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1194309807. Registration indicates Kierra Jambre' Sewell is a provider of services with a specialization in Suppliers, Prosthetic/Orthotic Supplier (Prosthetic/Orthotic Supplier, ) (Pharmacy/DME, ) (Prosthetic/Orthotic Supplier, Suppliers)
| Entity Type | Individual |
| Provider Name | Mrs. Kierra Jambre' Sewell |
| Practice Office Address | 5523 SEAWALL CT VIRGINIA BEACH, VA US |
| Practice Office Telephone | 7575602055 |
| Mailing Address | 5523 SEAWALL CT VIRGINIA BEACH, VA 234627715 US |
| Business Telephone | 7575602055 |
| business email [] | [email protected] | Health Information Exchange (HIE) |
| Code | Practice | License No State |
|---|---|---|
| 335E00000X PRIMARY | Suppliers Prosthetic/Orthotic Supplier Prosthetic/Orthotic Supplier Pharmacy/DME Prosthetic/Orthotic Supplier Suppliers |
VA |
| 11150233 | OTHER | VA | OUT OF NETWORK |