Healthcare Provider Details

I. General information

NPI: 1154278711
Provider Name (Legal Business Name): JAIMIE HUGGINS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 05/31/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8260 GREENSBORO DR STE A15
MC LEAN VA
22102-4928
US

IV. Provider business mailing address

8260 GREENSBORO DR STE A15
MC LEAN VA
22102-4928
US

V. Phone/Fax

Practice location:
  • Phone: 571-308-1900
  • Fax: 571-308-1919
Mailing address:
  • Phone: 571-308-1900
  • Fax: 571-308-1919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024196740
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: