Individual
LISA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1201 HOSPITAL DR, FREDERICKSBURG, VA 22401-8428
(540) 368-4700
Mailing address
2101 E JEFFERSON ST, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101245461
VA
261QH0100X
Health Service Clinic/Center
0101245461
VA
Other
Enumeration date
07/13/2007
Last updated
08/28/2025
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