MICHELLE MARIE JACQUES


Address: 8501 Arlington Blvd Ste 410, Fairfax, VA 22031-4625
Phone: 7037384331

MICHELLE MARIE JACQUES (NPI# 1194172726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194172726
Entity Type Individual
Full Name MICHELLE MARIE JACQUES
Credential RN-BC,AGPCNP-BC,CMT
Practice Address 8501 Arlington Blvd Ste 410
Fairfax
VA 22031-4625
Mailing Address 11350 Mccormick Rd
Bldg 1, Suite 501
Hunt Valley
MD 21031
Practice Telephone 7037384331
Practice Fax Number 7036421876
Mailing Telephone 4103291071
Mailing Fax Number 4103291054
Enumeration Date 2016-05-24
Last Update Date 2020-04-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 225700000X Massage Therapist 0019005354 VA Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 363L00000X Nurse Practitioner 0024173383 VA Physician Assistants & Advanced Practice Nursing Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
0024173383 VA Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
0024173383 VA Physician Assistants & Advanced Practice Nursing Providers

Other Providers MICHELLE JACQUES

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1285042671 Michelle Jacques Physician Assistant 2000 Chapel View Blvd Ste 225, Cranston, RI 02920-3087 2014-07-29
1710072806 Michelle Jacques Dentist 1853 Peeler Rd, Suite A, Dunwoody, GA 30338-5714 2006-10-04

Office Location

Street Address 8501 ARLINGTON BLVD STE 410
City FAIRFAX
State VA
Zip Code 22031-4625

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336117373 Rodney B Dade Physical Medicine & Rehabilitation 8501 Arlington Blvd Ste 410, Fairfax, VA 22031-4632 2006-03-08
1891207023 Lindsey A Lee Nurse Practitioner 8501 Arlington Blvd Ste 410, Fairfax, VA 22031-4625 2017-10-27
1316465461 Physical Medicine Associates, Ltd Pain Medicine 8501 Arlington Blvd Ste 410, Fairfax, VA 22031-4625 2017-09-08
1255682175 Yelena Game Physician Assistant 8501 Arlington Blvd Ste 410, Fairfax, VA 22031 2012-10-02
1366483034 Beverly A Whittenberg Physical Medicine & Rehabilitation 8501 Arlington Blvd Ste 410, Fairfax, VA 22031 2006-06-10
1376509109 Maggie Lynn Ipsaro Physician Assistant 8501 Arlington Blvd Ste 410, Fairfax, VA 22031 2006-04-21
1457329997 Robert Harrison Wagner Physical Medicine & Rehabilitation 8501 Arlington Blvd Ste 410, Fairfax, VA 22031 2006-03-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902414105 Su Jung Kang Dentist 9661-c Main Street, Fairfax, VA 22031 2020-07-14
1346896347 Fuling Guo Acupuncturist 3013 James St, Fairfax, VA 22031 2019-08-15
1902458797 Kayla Callister Psychologist 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 2019-07-11
1790349801 Fairfax Dental Esthetics Dentist 9621 Fairfax Blvd., Fairfax, VA 22031 2019-04-24
1417427675 Kathryn Yen Ho Speech-Language Pathologist 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 2018-11-30
1932681376 Joanne Towers Physician Assistant 3025 Hamaker Court Suite 300, Fairfax, VA 22031 2018-09-01
1790262020 S Renee Dennis Nurse Practitioner 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 2018-07-19
1013493451 Elizabeth Joan Dwyer Physician Assistant 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 2018-07-18
1316432669 Delta Pharm LLC Pharmacy 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 2018-06-28
1629567656 Laura Breeden Acupuncturist 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 2018-05-04
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679187108 Jolene M. Mcadam Nurse Practitioner 536 Meadow Oak Cir, Fairfax, IA 52228-4709 2020-09-02
1356968820 Elizabeth Laura Gibbemeyer Nurse Practitioner 4209 Ridge Top Rd Apt 410, Fairfax, VA 22030-1120 2020-07-01
1932734274 Elena Wornom Nurse Practitioner 3620 Joseph Siewick Dr Ste 100, Fairfax, VA 22033-1757 2020-03-06
1790327583 Roula Saleem Dandalides Nurse Practitioner 8503 Arlington Blvd # V, Fairfax, VA 22031-4628 2019-10-13
1083124325 Lu Lucy Wei Nurse Practitioner 2700 Prosperity Ave Ste 280, Fairfax, VA 22031-4340 2017-09-30
1700020286 Suzanne Bailey Molloy Nurse Practitioner 4400 University Drive, Msn-2d3 George Mason University Student Health Services, Fairfax, VA 22030 2009-04-28
1518112697 Amberly Michelle Dunn Nurse Practitioner 10390 Democracy Lane, Fairfax, VA 22030 2008-11-17
1205842432 Katherine Niknia Nurse Practitioner Inova Schar Cancer Institute, 8081 Innovation Park Dr, Fairfax, VA 22031 2006-07-31
1508824699 Susan R Waterbury Nurse Practitioner 11212 Waples Mill Rd, Suite 100, Fairfax, VA 22030 2006-05-01
1457960528 Julie Littlejohn Nurse Practitioner 8081 Innovation Park Dr, Fairfax, VA 22031-4867 2020-07-24
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Competitor

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City FAIRFAX
Zip Code 22031

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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