Individual
JENNIFER L WASHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2701 WINDSOR CT, PRINCE GEORGE, VA 23875-1624
(804) 214-2417
(804) 835-5109
Mailing address
2701 WINDSOR CT, PRINCE GEORGE, VA 23875-1624
(804) 712-1391
(804) 835-5109
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001206166
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5493
BUSINESS LICENSE FOR PROFESSIONAL
VA
Enumeration date
09/14/2022
Last updated
09/14/2022
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