person
Jennifer R Archibald, PA-C
Surgical Physician Assistant in Falls Church, Virginia
NPI 1144409103

Jennifer R Archibald is a Surgical Physician Assistant based in Falls Church, VA and is specialized in Surgical. Jennifer R Archibald practices in Falls Church, VA and has the professional credentials of PA-C. The NPI Number for Jennifer R Archibald is 1144409103 and holds a License No. 0110004222 (Virginia).

The current practice location address for Jennifer R Archibald is 1069 W Broad St, Falls Church, VA and can be reached out via phone at 877-230-9617. You can also correspond with Jennifer R Archibald through the mailing address at 1069 W BROAD ST, FALLS CHURCH, VA - 22046-4610 (mailing address contact number: 877-230-9617).

Location: 1069 W Broad St, Falls Church, VA, 22046-4610
person
Provider Profile Details
NPI Number
1144409103
Provider Name
Jennifer R Archibald
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1069 W Broad St, Falls Church, VA, 22046-4610
Phone Number
877-230-9617
Fax Number
Provider Enumeration Date
10/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1144409103 01 MT BCBS
1144409103 05 MT
1081067 01 NCCPA
institution
Provider Business Practice Location Address Details
Address
1069 W Broad St
City
State
Zip
22046-4610
Phone Number
877-230-9617
Fax Number
person
Provider Business Mailing Address Details
Address
1069 W Broad St
City
State
Zip
22046-4610
Phone Number
877-230-9617
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
0110004222 (Virginia)
Definition
Definition to come...
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