Durham, Jennifer B.

Durham, Jennifer B. is an individual health care provider with primary practice located at 11800 Sunrise Valley Dr Ste 500 , Reston VA 20191-5303. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Durham, Jennifer B. can be contacted via phone (703) 437-5977.

Contact Information

Primary practice address
11800 Sunrise Valley Dr Ste 500 Reston VA 20191-5303
Phone: (703) 437-5977
Fax: (703) 478-2475
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024119682 Virginia

Profile Details

NPI number 1457399206
LBN Legal business name Durham, Jennifer B.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Jul 14th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457399206 NPPES
Virginia MEDICAID 1457399206
Virginia Other P01300807

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