Individual
DR. JENNIFER MARIE RICKERBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
9430 FORESTWOOD LN STE 100, MANASSAS, VA 20110-4754
(703) 365-0227
Mailing address
PO BOX 748613, ATLANTA, GA 30384-8613
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024177705
VA
Other
Enumeration date
06/14/2019
Last updated
04/19/2023
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