Individual provider · Type 1 NPI

Jennifer Stubblebine, CCP

Perfusionist · Falls Church, VA

NPI number 1053280958 Active

Practice location

3300 Gallows Rd
Falls Church, VA 22042-3300

Call (817) 403-6053 Map

Mailing address

12212 Hollow Tree Ln
Fairfax, VA 22030-6246

Specialties and licenses

TaxonomyCodeLicense
Perfusionist Primary 242T00000X249205

Perfusionist: A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the …

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About NPI 1053280958

Jennifer Stubblebine, CCP's National Provider Identifier is 1053280958, issued on Oct 30, 2025. The primary taxonomy on file is Perfusionist (242T00000X), and the practice location is in Falls Church, VA. The record was last updated on Oct 30, 2025.