Healthcare Provider Details

I. General information

NPI: 1447324702
Provider Name (Legal Business Name): JENNIFER ELLEN DUMRAUF RN, APN, C-CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS JENNIFER BECKER

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 PETER JEFFERSON PKWY STE 300
CHARLOTTESVILLE VA
22911-8618
US

IV. Provider business mailing address

675 PETER JEFFERSON PKWY STE 300
CHARLOTTESVILLE VA
22911-8618
US

V. Phone/Fax

Practice location:
  • Phone: 434-817-6900
  • Fax: 434-260-8391
Mailing address:
  • Phone: 434-817-6900
  • Fax: 434-260-8391

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number209-005025
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number0024191726
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: