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NPI Profile for BRIDGET M JENNISON in MANASSAS PARK, VA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community Health |
163WC1500X |
| NPI Number | 1649899253 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 04/14/2020 | |
| Last updated | 04/14/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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BRIDGET M JENNISON
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BRIDGET M JENNISON, RN