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Individual

DR. MARCUS DARRELL JENNINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MSPH

Contact information

Practice address
19441 GOLF VISTA PLAZA SUITE 230 & 310, LEESBURG, VA 20176-8272
(703) 729-3420
(703) 729-3422
Mailing address
224D CORNWALL ST NW STE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(571) 291-9786

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101274037
VA
207Q00000X
Family Medicine Physician
D0092220
MD
207Q00000X
Family Medicine Physician
Primary
MD049407
DC
207QS1201X
Sleep Medicine (Family Medicine) Physician
MD049407
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1114292588
VA
05
30017455970001
VA
Enumeration date
03/17/2012
Last updated
03/20/2026
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