Healthcare Provider Details

I. General information

NPI: 1891690012
Provider Name (Legal Business Name): DAKOTA PAIGE BABCOCK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

891 WILLIS LN
CULPEPER VA
22701-4373
US

IV. Provider business mailing address

815 CRESTHILL RD
FREDERICKSBURG VA
22405-1615
US

V. Phone/Fax

Practice location:
  • Phone: 540-825-4557
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024199122
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: