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Dr. Jennifer Derby, DO
Family Medicine Physician in Broadway, Virginia
NPI 1033290804

Jennifer Derby is a Family Medicine Physician based in Harrisonburg, VA. Jennifer Derby practices in Broadway, VA and has the professional credentials of DO. The NPI Number for Jennifer Derby is 1033290804 and holds a License No. 02003267A (Virginia).

The current practice location address for Jennifer Derby is 13892 Timber Way, Broadway, VA and can be reached out via phone at 540-901-0800 and via fax at 757-578-8547.

Location: 13892 Timber Way, Broadway, VA, 22803-1430
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033290804
Provider Name
Jennifer Derby
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
13892 Timber Way, Broadway, VA, 22803-1430
Phone Number
540-901-0800
Fax Number
757-578-8547
Provider Enumeration Date
10/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1033290804 05 VA
10332900804 01 NC NPI FOR LICENSED PROVIDER
institution
Provider Business Practice Location Address Details
Address
13892 Timber Way
City
Broadway
State
Virginia
Zip
22815-3332
Phone Number
540-901-0800
Fax Number
757-578-8547
person
Provider Business Mailing Address Details
Address
13892 Timber Way
City
Broadway
State
Virginia
Zip
22815-3332
Phone Number
540-901-0800
Fax Number
757-578-8547
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
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Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
02003267A (Indiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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