# MARYMOUNT UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Marymount University Student Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215522297
- **Authorized official:** MRS. JENNIFER CLAIRE GAGNON FNP-C (DIRECTOR)
- **Authorized official phone:** (703) 284-1610

## Contact information

- **Practice address:** 2807 N GLEBE RD, BERG HALL 1014, ARLINGTON, VA 22207-4299
- **Practice address phone:** (703) 284-1610
- **Practice address fax:** (703) 284-3816
- **Mailing address:** 2807 N GLEBE RD, BERG HALL 1014, ARLINGTON, VA 22207-4299
- **Mailing address phone:** (703) 284-1610
- **Mailing address fax:** (703) 284-3816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/02/2021
- **Last updated:** 03/20/2023