Individual
COLLEEN L JURGENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3580 JOSEPH SIEWICK DR STE 205, FAIRFAX, VA 22033-1764
(703) 620-3211
Mailing address
3800 RESERVOIR RD NW, RADIATION ONCOLOGY, WASHINGTON, DC 20007-2113
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024173322
VA
Other
Enumeration date
03/07/2016
Last updated
11/27/2023
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