Breseman, Jennifer Lynn

Breseman, Jennifer Lynn is an individual health care provider with primary practice located at 44084 Riverside Parkway, Suite 300 , Leesburg VA 20176-5102. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / General Practice. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Breseman, Jennifer Lynn can be contacted via phone (703) 724-7530.

Contact Information

Primary practice address
44084 Riverside Parkway, Suite 300 Leesburg VA 20176-5102
Phone: (703) 724-7530
Fax: (703) 858-2870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024181430 Virginia
Nursing Service Providers / General Practice 163WG0000X 0001150606 Virginia

Profile Details

NPI number 1205461498
LBN Legal business name Breseman, Jennifer Lynn
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2020
Last updated Mar 6th, 2024 - about 2 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 1205461498 NPPES
Virginia MEDICAID 30016291810001
Virginia MEDICAID 1205461498

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