Individual
DR. JENNIFER DEJESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7611 LITTLE RIVER TPKE STE 108, ANNANDALE, VA 22003-2611
(703) 717-7215
(703) 717-7216
Mailing address
7611 LITTLE RIVER TPKE STE 108, ANNANDALE, VA 22003-2611
(703) 717-7215
(703) 717-7216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MAO9285100
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/28/2010
Last updated
01/30/2024
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