Individual
DR. JENNIFER ANN ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
555 HOSPITAL DR, WARRENTON, VA 20186-3028
(540) 347-5512
(540) 341-4646
Mailing address
52 WEST SHIRLEY AVENUE, WARRENTON, VA 20186
(540) 347-9220
(540) 347-0492
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102050261
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061010000
SOUTHERN HEALTH
VA
01
—
112539
CIGNA PROVIDER #
VA
01
—
275675
HEALTHKEEPERS
VA
01
—
50820005
CAREFIRST PROVIDER #
VA
05
—
5849667
—
VA
01
—
7567197
AETNA PROVIDER #
VA
01
—
885925
MAMSI PROVIDER #
VA
01
—
ANTHEM
ANTHEM PROVIDER #
VA
Enumeration date
01/18/2007
Last updated
03/18/2014
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