Individual provider · Type 1 NPI
Jordyn Wiesbock
Registered Nurse · Reston, VA
Practice location
1860 Town Center Dr
Reston, VA 20190-5896
Mailing address
9875 Rainleaf Ct
Bristow, VA 20136-2416
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 0001260643 (VA) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1417878158
Jordyn Wiesbock's National Provider Identifier is 1417878158, issued on Jul 21, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Reston, VA. The record was last updated on Jul 21, 2026.