Healthcare Provider Details

I. General information

NPI: 1124991971
Provider Name (Legal Business Name): DEBORAH MARIE SUGGS FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DEBORAH SHAFFER

II. Dates (important events)

Enumeration Date: 09/27/2025
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 ARLINGTON BLVD # 500
FALLS CHURCH VA
22042-2325
US

IV. Provider business mailing address

4206 LINDEN ST
FAIRFAX VA
22030-3628
US

V. Phone/Fax

Practice location:
  • Phone: 703-533-5000
  • Fax:
Mailing address:
  • Phone: 703-395-2521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024192203
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: