Individual provider · Type 1 NPI

Jennifer Ebbertt, RN

Family Nurse Practitioner · Leesburg, VA

NPI number 1104410273 Active

Practice location

19465 Deerfield Avenue, Suite 405
Leesburg, VA 20176-1707

Call (571) 252-8119 Map

Fax (571) 252-8119

Mailing address

224D Cornwall St NW Ste 403
Leesburg, VA 20176-2704

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X0024192366 (VA)

Family Nurse Practitioner: Definition to come...

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About NPI 1104410273

Jennifer Ebbertt, RN's National Provider Identifier is 1104410273, issued on Mar 1, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Leesburg, VA. The record was last updated on Mar 24, 2026.