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NPI Code Detail

MEDICARE: STEFANIE JENNINGS FNP-C

MEDICARE:   STEFANIE  JENNINGS  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
1363LF0000XFamily Nurse Practitioner0024180441VA
2363L00000XNurse Practitioner0024180441VA

General Provider Information

NPI Number : 1790385706
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEFANIE JENNINGS FNP-C
Provider Business Mailing Address
First Line : 2201 MOUNT VERNON AVE STE 105
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22301-1313
Country : US
Telephone Number : 571-506-7265
Fax Number : 571-386-2616
Provider Business Practice Location Address
First Line : 2201 MOUNT VERNON AVE STE 105
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22301-1313
Country : US
Telephone Number : 571-506-7265
Fax Number : 571-386-2616
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2020
Last Update Date : 11/22/2025

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Directions to “ STEFANIE JENNINGS FNP-C” Practice Location

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