Individual
JENNIFER WOODLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13135 LEE JACKSON MEMORIAL HWY STE 201, FAIRFAX, VA 22033-1907
(703) 391-0900
Mailing address
13135 LEE JACKSON MEMORIAL HWY STE 201, FAIRFAX, VA 22033-1907
(703) 391-0900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001242237
VA
363LF0000X
Family Nurse Practitioner
Primary
0024174056
VA
Other
Enumeration date
09/23/2016
Last updated
03/20/2023
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