JENNIFER DURHAM DNP-AGPCNP NPI 1629776984

NPI Information

  • NPI: 1629776984
  • Provider Name: JENNIFER DURHAM, DNP-AGPCNP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 158 EXECUTIVE DR
    DANVILLE, VA
    ZIP 24541
  • Phone: (434) 791-1088

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NPI Details

Jennifer Durham, DNP-AGPCNP is a gerontology nurse practitioner in Danville, VA with 3 years of experience. Jennifer Durham, DNP-AGPCNP NPI is 1629776984. 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:

158 EXECUTIVE DR
DANVILLE, VA
ZIP 24541-100
Phone: (434) 791-1088

The NPI 1629776984 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/16/2023 and was last updated on 1/10/2025.

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
1163W00000XRegistered Nurse256042NORTH CAROLINANo
2363LP2300XNurse PractitionerPrimary Care0024188273VIRGINIANo
3363LG0600XNurse PractitionerGerontology0024188273VIRGINIAYes

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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