Provider Demographics
NPI:1124839089
Name:KNIGHT, JANE M
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:M
Last Name:KNIGHT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:MARIE
Other - Last Name:ROBESON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP, APP
Mailing Address - Street 1:58 BARCLAY PLACE CT APT F
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-2477
Mailing Address - Country:US
Mailing Address - Phone:267-383-8395
Mailing Address - Fax:
Practice Address - Street 1:661 UNIVERSITY LN STE B
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:VA
Practice Address - Zip Code:22960-2243
Practice Address - Country:US
Practice Address - Phone:540-661-3004
Practice Address - Fax:434-244-4508
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-18
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024192115363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily