ALLURING AESTHETICS PLLC NPI 1114721719

NPI Information

  • NPI: 1114721719
  • Provider Name: ALLURING AESTHETICS PLLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 300 ELLICOTT ST STE D
    OCCOQUAN, VA
    ZIP 22125
  • Phone: (904) 540-1391

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NPI Details

ALLURING AESTHETICS PLLC is a clinic center in Occoquan, VA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ALLURING AESTHETICS PLLC NPI is 1114721719. The provider is registered as an organization entity type.

The provider's business location address is:

300 ELLICOTT ST STE D
OCCOQUAN, VA
ZIP 22125-715
Phone: (904) 540-1391

The provider's authorized official is Jenniffer Lynn Reis .
The authorized official title is Owner and has the following contact phone number (904) 540-1391.

The enumeration date for this NPI number is 4/2/2025 and was last updated on 4/2/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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