Ashley Silvestro


Ashley joined our practice in June of 2020, and she is board certified as a Family Nurse Practitioner through the American Academy of Nurse Practitioners. She initially worked as a patient care technician on a cardio-pulmonary floor before graduating with her BSN from Bon Secours Memorial College of Nursing in 2016. Prior to graduating with her MSN from South University in 2019, she worked primarily in Emergency Medicine; she has also worked in Pediatric Primary Care and Psychiatry. Her experience with diverse populations of all ages and stages of life, from birth to death, have shaped her into the provider that she is today. After having her first child and experiencing the mental and physical challenges that present postpartum, Ashley has developed a special interest in supporting women during their postpartum journey. During her free time, she loves spending time with her husband and son, exercising, being outdoors, and searching for farmhouse-style home décor. Ashley also plays softball weekly with her husband, and they occasionally compete in tournaments!

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Jeanelle James


Jeanelle James, is a Family Nurse Practitioner, received her Associate of Arts in Sciences (AAS) from Kingsborough Community College, (BSN) Bachelor of Science in Nursing from SUNY Downstate Medical Center, and (MSN) Master of Science in Nursing from Chamberlain University. Ms. James is board certified by The American Academy of Nurse Practitioners. She is an active member of Sigma Theta Tau Honor Society of Nursing. She started her love for the Humanitarian Cause early in her career as an exchange Student in Panama where she was a volunteer at Nutre Hogar, a facility that cared for malnourished children that also gave support to their families. In her leisure time she enjoys spending time with her family, traveling, attending music festivals, hiking, and pursuing her first love, Photography. Jeanelle has a holistic approach to treating her patients which is centered around health, wellness, and work life balance. Her goal is to enrich patients’ lives with knowledge that will improve their overall lifestyle.

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Rose Joyner-Tiggett


After obtaining her bachelor’s degree in nursing from Liberty University, Rose went on to pursue her master’s degree in nursing from Virginia Commonwealth University. Rose worked in medical-surgical nursing, oncology, women's health, and as a clinical instructor prior to becoming a Nurse Practitioner. Her professional credentials include board certification through the American Nursing Credentialing Center (ANCC) as an Adult Gerontology Primary Care Nurse Practitioner. She is a local member of the Virginia Council of Nurse Practitioners (VCNP) and Richmond Advance Practice Society (RAPS). Rose’s personal struggle with weight came after pregnancy. With diet and exercise, she is now able to maintain a healthy lifestyle. Knowing that weight loss requires support, she has a great desire to help others on their journey to a healthier lifestyle. Armed with her medical background and own weight struggles, Rose brings compassion, knowledge, and the latest evidence on weight loss to her patients. Traveling, mission trips, hiking, running, and cooking are just some of Rose’s interests. She also enjoys spending time with her husband and son and friends.

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Sarah Manzi

Sarah first developed an interest in nutrition and physical activity while attending Coastal Carolina University, where she began making positive changes in her own life. Realizing that health was an area that she wanted to work in, she changed her major and received a Bachelor of Science in exercise and sport science. After college, she worked as a physical therapy technician in South Carolina and became certified as an exercise physiologist through the American College of Sports Medicine (ACSM). Still wishing to further her education, she completed her master’s degree in exercise physiology at the University of South Carolina. While in graduate school, she taught clinical exercise physiology and muscle physiology classes, and worked as a research assistant on a behavioral health study with the USC Psychology Department and the CDC. Sarah is excited to be in a role where she can use her background to help others make positive changes in their lives. When Sarah is not at work, she loves spending time outdoors with her dog.

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