MEDICARE: MRS. JAIMIE HUGGINS FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	0024196740	VA

General Provider Information

NPI Number	:	1154278711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JAIMIE HUGGINS FNP-C

Provider Business Mailing Address
First Line	:	8260 GREENSBORO DR STE A15
Second Line	:
City	:	MC LEAN
State	:	VA
Zip	:	22102-4928
Country	:	US
Telephone Number	:	571-308-1900
Fax Number	:	571-308-1919

Provider Business Practice Location Address
First Line	:	8260 GREENSBORO DR STE A15
Second Line	:
City	:	MC LEAN
State	:	VA
Zip	:	22102-4928
Country	:	US
Telephone Number	:	571-308-1900
Fax Number	:	571-308-1919

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	05/31/2026

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