Individual
MELANIE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
19500 SANDRIDGE WAY STE 350, LEESBURG, VA 20176-3693
(571) 437-8816
Mailing address
19500 SANDRIDGE WAY STE 350, LEESBURG, VA 20176-3693
(571) 437-8816
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024185497
VA
Other
Enumeration date
01/09/2023
Last updated
12/11/2025
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