Individual provider · Type 1 NPI
Jennifer Herberger Samuel, NP-BC
Family Nurse Practitioner · Leesburg, VA
NPI number
1689350977
Active
Practice location
531 E Market St
Leesburg, VA 20176-4115
Mailing address
20730 Ruffsdale Ct
Ashburn, VA 20147-2843
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 0024186818 (VA) |
| Family Nurse Practitioner Primary | 363LF0000X | 0024186818 (VA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1689350977
Jennifer Herberger Samuel, NP-BC's National Provider Identifier is 1689350977, issued on Jun 22, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Leesburg, VA. The record was last updated on Oct 18, 2023.