Nurisha Shavon Jack (NPI# 1306338363, PAC ID# 0244589687) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED NURSE MIDWIFE (CNM).
| Nation Provider ID (NPI) | 1306338363 |
| PAC ID by PECOS | 0244589687 |
| Professional Enrollment ID | I20191030002641 |
| Full Name | Nurisha Shavon Jack |
| Organization Legal Name | SPECIALTY PHYSICIANS OF NORTHERN VIRGINIA LLC |
| Address |
19465 Deerfield Ave Suite 205 Leesburg VA 20176-1703 |
| Phone Number | 7037261300 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | CERTIFIED NURSE MIDWIFE (CNM) |
| Group Practice PAC ID | 6709923915 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 19465 Deerfield Ave, Suite 205, Leesburg, VA 20176-1703 | 7037261300 | SPECIALTY PHYSICIANS OF NORTHERN VIRGINIA LLC |
| Organization Legal Name | SPECIALTY PHYSICIANS OF NORTHERN VIRGINIA LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abdurrahman Kandil | Orthopedic Surgery | Specialty Physicians of Northern Virginia LLC | 24430 Stone Springs Blvd, Suite 475, Dulles, VA 20166-2247 |
| Sherri L Franklin | Obstetrics/gynecology | Specialty Physicians of Northern Virginia LLC | 24430 Stone Springs Blvd, Suite 475, Dulles, VA 20166-2247 |
| Ifeoma Anulika Ilo | Certified Nurse Midwife (cnm) | Specialty Physicians of Northern Virginia LLC | 19465 Deerfield Ave, Suite 205, Leesburg, VA 20176-1703 |
| Leonardo R Espinel Jr. | General Surgery | Specialty Physicians of Northern Virginia LLC | 24430 Stone Springs Blvd, Unit 250, Dulles, VA 20166-2268 |
| Sangeeta Sinha | Obstetrics/gynecology | Specialty Physicians of Northern Virginia LLC | 24430 Stone Springs Blvd, Suite 475, Dulles, VA 20166-2247 |
| Street Address |
19465 DEERFIELD AVE SUITE 205 |
| City | LEESBURG |
| State | VA |
| Zip | 20176-1703 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori B Johnson | Physical Therapy | Countryside Orthopaedics PC | 19465 Deerfield Ave, Suite 405, Leesburg, VA 20176-1707 |
| Elisabeth Miller | Qualified Speech Language Pathologist | Blue Ridge Speech and Hearing Center of Loudoun County, Inc. | 19465 Deerfield Ave, Suite 201, Lansdowne, VA 20176-1703 |
| Ifeoma Anulika Ilo | Certified Nurse Midwife (cnm) | Specialty Physicians of Northern Virginia LLC | 19465 Deerfield Ave, Suite 205, Leesburg, VA 20176-1703 |
| Kimberly Lynn Mendoza | Physician Assistant | Countryside Orthopaedics PC | 19465 Deerfield Ave, Suite 405, Leesburg, VA 20176-1707 |
| Craig S Bittenbender | Physical Therapy | Countryside Orthopaedics PC | 19465 Deerfield Ave, Suite 405, Leesburg, VA 20176-1707 |
| Rebekah K Hamley | Qualified Speech Language Pathologist | Blue Ridge Speech and Hearing Center of Loudoun County, Inc. | 19465 Deerfield Ave, Suite 201, Lansdowne, VA 20176-1703 |
| Kelly Wooten-pilson | Qualified Audiologist | Blue Ridge Speech and Hearing Center of Loudoun County, Inc. | 19465 Deerfield Ave, Suite 201, Lansdowne, VA 20176-1703 |
| Sean A Jebraili | Neurosurgery | 19465 Deerfield Ave, Suite 307, Lansdowne, VA 20176-1705 | |
| Douglas C Semler | Dermatology | 19465 Deerfield Ave, Suite 408, Lansdowne, VA 20176-1707 | |
| Daniel A Williams | Physician Assistant | Countryside Orthopaedics PC | 19465 Deerfield Ave, Suite 405, Leesburg, VA 20176-1707 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin A Duke | Chiropractic | 19465 Deerfield Ave, Suite 108, Lansdowne, VA 20176-1702 | |
| Behnam Daghigh | Allergy/immunology | Allergy Asthma and Sinus Center PC | 19465 Deerfield Ave, Suite 101, Leesburg, VA 20176-1702 |
| Sara R Scott | Physical Therapy | Loudoun Medical Group PC | 19465 Deerfield Ave, Suite 208, Leesburg, VA 20176-1703 |
| Ian Wattenmaker | Orthopedic Surgery | Loudoun Medical Group PC | 19465 Deerfield Ave, Suite 207, Leesburg, VA 20176-1703 |
| Emily Frances Rooney | Qualified Audiologist | Blue Ridge Speech and Hearing Center of Loudoun County, Inc. | 19465 Deerfield Ave, Suite 201, Lansdowne, VA 20176-1703 |
| Melinda L Rhoads | Certified Nurse Midwife | Specialty Physicians of Northern Virginia, LLC | 19465 Deerfield Ave, Suite 205, Leesburg, VA 20176-1703 |
| Sophie A. Assmann | Audiologist | Blue Ridge Speech and Hearing Center of Loudoun County, Inc. | 19465 Deerfield Ave, Suite 201, Lansdowne, VA 20176-1703 |
| Virginia M Hackenberg | Obstetrics/gynecology | Loudoun Medical Group PC | 19465 Deerfield Ave, Suite 205, Leesburg, VA 20176-1703 |
| Paula L Senner | Certified Nurse Midwife | Specialty Physicians of Northern Virginia, LLC | 19465 Deerfield Ave, Suite 205, Leesburg, VA 20176-1703 |
| Heather K Swartz | Certified Nurse Midwife | Specialty Physicians of Northern Virginia, LLC | 19465 Deerfield Ave, Leesburg, VA 20176-1703 |
| Find all physicians in zip 20176 | |||
| City | LEESBURG |
| Zip Code | 20176 |
| Specialty | CERTIFIED NURSE MIDWIFE (CNM) |
| City + Specialty | LEESBURG + CERTIFIED NURSE MIDWIFE (CNM) |
Please comment or provide details below to improve the information on Nurisha Shavon Jack.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.