Basic Information
| Provider Information | |||||||||
| NPI: | 1750582938 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TRAPP | ||||||||
| FirstName: | JAMIE | ||||||||
| MiddleName: | E. | ||||||||
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| Credential: | R.N., N.P. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 500 PETER JEFFERSON PKWY | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTESVILLE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 229114627 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4349783998 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1149 SEMINOLE TRL | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTESVILLE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 229012897 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4349783998 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/29/2007 | ||||||||
| LastUpdateDate: | 06/01/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 0024109110 | VA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.