Elba, Jacqueline Regina

Elba, Jacqueline Regina is an individual health care provider with primary practice located at 2701 Neabsco Common Pl , Woodbridge VA 22191-4185. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Elba, Jacqueline Regina can be contacted via phone (703) 731-9283.

Contact Information

Primary practice address
2701 Neabsco Common Pl Woodbridge VA 22191-4185
Phone: (703) 731-9283
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024175614 Virginia

Profile Details

NPI number 1558863704
LBN Legal business name Elba, Jacqueline Regina
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2018
Last updated Mar 20th, 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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