Rieben, Jaclyn S

Rieben, Jaclyn S is an individual health care provider with primary practice located at 1850 Town Center Pkwy Suite 400, Reston VA 20190-3219. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Rieben, Jaclyn S can be contacted via phone (703) 810-5202.

Contact Information

Primary practice address
1850 Town Center Pkwy Suite 400 Reston VA 20190-3219
Phone: (703) 810-5202
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110002990 Virginia

Profile Details

NPI number 1972573988
LBN Legal business name Rieben, Jaclyn S
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jul 6th, 2015 - about 11 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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