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Organization

BESPOKE PSYCHIATRY OF NORTHERN VIRGINIA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER LINDA JORDAN PMHNP-BC (OWNER)
(301) 542-5404
Entity
Organization

Contact information

Practice address
1737 KING ST STE 330, ALEXANDRIA, VA 22314-2760
(301) 642-5404
Mailing address
1737 KING ST STE 330, ALEXANDRIA, VA 22314-2760
(301) 642-5404

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
04/09/2026
Last updated
04/25/2026
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