Daffer, Jenna Marie

Daffer, Jenna Marie is an individual health care provider with primary practice located at 1100 N Glebe Rd Ste 1600 , Arlington VA 22201-5798. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Daffer, Jenna Marie can be contacted via phone (571) 350-8400.

Contact Information

Primary practice address
1100 N Glebe Rd Ste 1600 Arlington VA 22201-5798
Phone: (571) 350-8400
Fax: (703) 528-0338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 0024186450 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 2019047604 Pennsylvania

Profile Details

NPI number 1215569942
LBN Legal business name Daffer, Jenna Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2020
Last updated Aug 10th, 2026 - about 3 months 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 1215569942 NPPES
Virginia MEDICAID 30015880020002
Virginia Other 0870-0092
Virginia Other 2384961

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