Mariem Jendoubi

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024193956 Issued in VA

Practice address

8403 W Hildy CT
Spotsylvania, VA 22553-3623

Phone

(540) 760-2717

NPI assigned

Jul 15, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1407747520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4117 PLANK RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224074888",
            "telephone_number": "540-785-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8403 W HILDY CT",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225533623",
            "telephone_number": "540-760-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENDOUBI",
        "first_name": "MARIEM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024193956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Elizabeth Henry, RBT
• Magdala Junie Holmes, RN
• Heidi Horner, CPM LM
• Alicia Faye Jacobs, PA-C
• Jeffrey D Day DDS PC
• Annette Johnson
• Donna Jones, LCSW
• Lorraine Ann Jones
• Danny Ryann Justice, MD
• Alexis Kandetzki, MSW

• Nurse Practitioner in Spotsylvania, VA
• Providers in Spotsylvania, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.