Individual
DR. JACOBYNA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CNM
Contact information
Practice address
19455 DEERFIELD AVENUE, SUITE 204, LEESBURG, VA 20176-8102
(703) 858-1500
Mailing address
224D CORNWALL ST NW STE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
0024194378
VA
367A00000X
Advanced Practice Midwife
Primary
0024194378
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710865639
—
VA
05
—
30018404820001
—
VA
Enumeration date
08/27/2025
Last updated
11/18/2025
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