Individual
JENNEY LU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-3224
Mailing address
2455 MANDEVILLE LN APT 1212, ALEXANDRIA, VA 22314-6154
(850) 346-1390
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
35030229
CA
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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