JENNIFER BALLARD SQUIRES APRN BC (NURSEPRACT NPI 1306880588

NPI Information

NPI: 1306880588
Provider Name: JENNIFER BALLARD SQUIRES, APRN, BC (NURSEPRACT
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
8613 ROUTE 29 # 200N
FAIRFAX, VA
ZIP 22031
Phone: (571) 350-8400
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Jennifer Ballard Squires, APRN, BC (NURSEPRACT is a family nurse practitioner in Fairfax, VA. Jennifer Ballard Squires, APRN, BC (NURSEPRACT NPI is 1306880588. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8613 ROUTE 29 # 200N
FAIRFAX, VA
ZIP 22031-171
Phone: (571) 350-8400
Fax: (703) 280-9596

The enumeration date for this NPI number is 6/16/2006 and was last updated on 4/24/2024.

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
1	363L00000X	Nurse Practitioner		669572	CALIFORNIA	No
2	363L00000X	Nurse Practitioner		AC000572	MARYLAND	No
3	363LF0000X	Nurse Practitioner	Family	000121124	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0024169800	OTHER	VIRGINIA	NURSE PRACTITIONER LICENSE
2	16322	OTHER	CALIFORNIA	CA NURSEPRACTIONERLICENSE
3	669572	OTHER	CALIFORNIA	RN LICENSE
4	AC000572	OTHER	MARYLAND	MD NP LICENSE
5	0001211124	OTHER	VIRGINIA	VA RN LICENSE

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: 4/28/2024

NPI Synchronization or Removal

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