Individual
DR. JENNIFER LYNN BRESEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1313 DOLLEY MADISON BOULEVARD, SUITE 104, MC LEAN, VA 22101-3926
(703) 263-8282
Mailing address
224D CORNWALL ST NW STE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
0001150606
VA
363LF0000X
Family Nurse Practitioner
Primary
0024181430
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205461498
—
VA
05
—
30016291810001
—
VA
Enumeration date
03/08/2020
Last updated
12/18/2025
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