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Jennifer Ballard Squires, APRN,BC(NURSEPRACT
Family Nurse Practitioner in Fairfax, Virginia
NPI 1306880588

Jennifer Ballard Squires is a Family Nurse Practitioner based in Fairfax, VA and is specialized in Family. Jennifer Ballard Squires practices in Fairfax, VA and has the professional credentials of APRN,BC(NURSEPRACT. The NPI Number for Jennifer Ballard Squires is 1306880588 and holds a License No. 669572 (Virginia).

The current practice location address for Jennifer Ballard Squires is 8613 Route 29 # 200N, Fairfax, VA and can be reached out via phone at 571-350-8400 and via fax at 703-280-9596.

Location: 8613 Route 29 # 200N, Fairfax, VA, 22031-4618
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306880588
Provider Name
Jennifer Ballard Squires
Credential
APRN,BC(NURSEPRACT
Provider Entity Type
Individual
Gender
Female
Address
8613 Route 29 # 200N, Fairfax, VA, 22031-4618
Phone Number
571-350-8400
Fax Number
703-280-9596
Provider Enumeration Date
06/16/2006
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0024169800 01 VA NURSE PRACTITIONER LICENSE
16322 01 CA CA NURSEPRACTIONERLICENSE
669572 01 CA RN LICENSE
AC000572 01 MD MD NP LICENSE
0001211124 01 VA VA RN LICENSE
institution
Provider Business Practice Location Address Details
Address
8613 Route 29 # 200N
City
Fairfax
State
Virginia
Zip
22031-2171
Phone Number
571-350-8400
Fax Number
703-280-9596
person
Provider Business Mailing Address Details
Address
8613 Route 29 # 200N
City
Fairfax
State
Virginia
Zip
22031-2171
Phone Number
571-350-8400
Fax Number
703-280-9596
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
AC000572 (Maryland)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
669572 (California)
Definition
Definition to come...
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