Individual
JENNIFER SICKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
44045 RIVERSIDE PKWY, LEESBURG, VA 20176-5101
(703) 858-6000
Mailing address
3100 SPRING FOREST RD STE 130, RALEIGH, NC 27616-2880
(919) 882-0774
(844) 454-0171
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001228677
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024175779
VA
Other
Enumeration date
05/15/2017
Last updated
03/17/2018
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