Individual
MRS. JENNIFER CLAIRE GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2807 N. GLEBE ROAD, MARYMOUNT UNIVERSITY, STUDENT HEALTH, ARLINGTON, VA 22207
(703) 284-1610
(703) 284-3816
Mailing address
2807 N. GLEBE ROAD, MARYMOUNT UNIVERSITY, STUDENT HEALTH, ARLINGTON, VA 22207
(703) 284-1610
(703) 284-3816
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024169116
VA
363LP0200X
Pediatric Nurse Practitioner
0024169116
VA
Other
Enumeration date
04/18/2016
Last updated
10/27/2020
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