Individual
JENNIFER EBBERTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
19465 DEERFIELD AVENUE, SUITE 405, LEESBURG, VA 20176-1707
(571) 252-8119
(571) 252-8119
Mailing address
224D CORNWALL ST NW STE 403, LEESBURG, VA 20176-2704
(703) 737-6010
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024192366
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30018233000002
—
VA
Enumeration date
03/01/2021
Last updated
03/24/2026
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