Jennifer Lynn Jensen, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110006938 Issued in VA

Practice address

6371 Little River Tpke
Alexandria, VA 22312-5002

Phone

(703) 683-2773

NPI assigned

Feb 7, 2020

Last updated

Feb 7, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1225660129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6557 BROOKS PL",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220441106",
            "telephone_number": "763-439-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6371 LITTLE RIVER TPKE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223125002",
            "telephone_number": "703-683-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110006938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdowd@css.edu",
            "affiliation": "N",
            "address_1": "6371 Little River Tpke",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223125002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberleigh Jennifer
• Jennings Health PLLC
• Delonte Tavon Jennings
• Stefanie Jennings, FNP-C
• Jenny Yung, MD PLLC
• Natalie Jensen
• SE-Young Jeon, DDS
• Jerald J. Littlefield, MD, PC
• Leslie Clare Jerkins, MSW
• Jerrold H Epstein Dos PC

• Physician Assistant in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.