Bridget Mulvihill Jennison, RN
Individual provider Active NPI Community Health Registered Nurse · Manassas Park, VA
NPI 1649899253 · NPPES record last updated Apr 14, 2020
Key facts
- NPI
- 1649899253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- 0001201367 (VA)
- Practice address
- 99 Tremont Street
Manassas Park, VA 20111-2011 - Phone
- (703) 618-4249
- NPI assigned
- Apr 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001201367 | VA | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 0001201367 | VA | Yes |
Addresses
Primary practice location
99 Tremont Street
Manassas Park, VA 20111-2011
Mailing address
George Mason University, 4400 University Drive,
School of Nursing, Map Clinic Coordinator
Fairfax, VA 22030
Phone (703) 618-4249
Other providers in Manassas Park, VA
- Laura Howard
- Rebecca Sarah Hussion
- Jannat Ijaz
- Suad Ahmed Jama
- Shawniqua James
- Christopher L'Aaron Johnson
- Joseph M. Arzadon, MD, DDS, PC
- Abigail Kassa
- Kent Village Medical Center, LLC
- Edward S Kim
All providers in Manassas Park, VA · Community Health Registered Nurse in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.