Individual provider · Type 1 NPI

Mariem Jendoubi

Nurse Practitioner · Spotsylvania, VA

NPI number 1407747520 Active

Practice location

8403 W Hildy Ct
Spotsylvania, VA 22553-3623

Mailing address

4117 Plank Rd
Fredericksburg, VA 22407-4888

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X0024193956 (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…

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About NPI 1407747520

Mariem Jendoubi's National Provider Identifier is 1407747520, issued on Jul 15, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Spotsylvania, VA. The record was last updated on Jul 15, 2025.