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General NPI Number Information
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NPI Number | 1295578193
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Entity Type | Organization
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Legal Business Name | JENNINGS HEALTH PLLC
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Dates
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Enumeration Date | 06/17/2024
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Last Update Date | 11/22/2025
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Provider Practice Location Address
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Address Line | 2201 MOUNT VERNON AVE STE 105
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City | ALEXANDRIA
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State | VA
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Zip | 22301-1313
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Country | US
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Telephone | 571-506-7265
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Fax | 571-386-2616
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Provider Business Mailing Address
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Address Line | 2201 MOUNT VERNON AVE STE 105
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City | ALEXANDRIA
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State | VA
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Zip | 22301-1313
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Country | US
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Telephone | 571-506-7265
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Fax | 571-386-2616
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Authorized Official
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Title or Position | OWNER
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Name | STEFANIE JENNINGS
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Credential | FNP-C
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Telephone | 571-506-7265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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