Individual provider · Type 1 NPI
Michelle Marie Jacques, RN-BC, AGPCNP-BC, CMT
Nurse Practitioner · Fairfax, VA
Practice location
10400 Eaton Pl Ste 312
Fairfax, VA 22030-2208
Fax (833) 606-0558
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | 0019005354 (VA) |
| Adult Health Nurse Practitioner | 363LA2200X | 0024173383 (VA) |
| Gerontology Nurse Practitioner | 363LG0600X | 0024173383 (VA) |
| Nurse Practitioner Primary | 363L00000X | 0024173383 (VA) |
Nurse Practitioner: (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 wit…
2 other providers at this address
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About NPI 1194172726
Michelle Marie Jacques, RN-BC, AGPCNP-BC, CMT's National Provider Identifier is 1194172726, issued on May 24, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fairfax, VA. The record was last updated on Mar 14, 2025.