Staley, Jennifer M

Staley, Jennifer M is an sole proprietor health care provider with primary practice located at 8180 Stonewall Shops Sq , Gainesville VA 20155-3891. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Staley, Jennifer M can be contacted via phone (703) 753-9799.

Contact Information

Primary practice address
8180 Stonewall Shops Sq Gainesville VA 20155-3891
Phone: (703) 753-9799
Fax: (703) 753-9792
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024173774 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024173774 Virginia

Profile Details

NPI number 1053864918
LBN Legal business name Staley, Jennifer M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2016
Last updated Feb 24th, 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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