Individual
JENNIFER LYNNE JENKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
21785 FILIGREE COURT, SUITE 201, ASHBURN, VA 20147
(703) 726-9930
(703) 723-8283
Mailing address
21785 FILIGREE COURT, SUITE 201, ASHBURN, VA 20147
(703) 726-9930
(703) 723-8283
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024167579
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073792792
—
VA
Enumeration date
10/30/2007
Last updated
02/08/2008
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