Healthcare Provider Details

I. General information

NPI: 1366797607
Provider Name (Legal Business Name): JESSICA HUGHES DAY MSN, APRN, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2012
Last Update Date: 08/10/2022
Certification Date: 08/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3299 WOODBURN RD STE 350
ANNANDALE VA
22003-7321
US

IV. Provider business mailing address

PO BOX 37174
BALTIMORE MD
21297-3174
US

V. Phone/Fax

Practice location:
  • Phone: 703-260-1179
  • Fax: 571-405-6234
Mailing address:
  • Phone: 571-423-5699
  • Fax: 571-423-5698

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPN.17945TP
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number0024183679
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: