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Individual

MS. JILL NIXON HIBBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
4379 RIDGEWOOD CENTER DR, STE 102, WOODBRIDGE, VA 22192-8323
(703) 680-7950
(703) 680-7953
Mailing address
2101 E JEFFERSON ST, PPQA MEDICARE COMPLIANCE UNIT 6 WEST ATTN THERESA BROOK, ROCKVILLE, MD 20852-4908
(301) 816-2414
(301) 388-1740

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
0001161499
VA
176B00000X
Midwife
Primary
0024161499
VA

Other

Enumeration date
12/12/2006
Last updated
04/17/2012
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