Provider Demographics
NPI:1316050719
Name:FABRY, JEREMIAH DAUN (DC, FNP)
Entity type:Individual
Prefix:DR
First Name:JEREMIAH
Middle Name:DAUN
Last Name:FABRY
Suffix:
Gender:
Credentials:DC, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13553 MIDLOTHIAN TPKE
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-4261
Mailing Address - Country:US
Mailing Address - Phone:804-229-1554
Mailing Address - Fax:844-777-1754
Practice Address - Street 1:13553 MIDLOTHIAN TPKE
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-4261
Practice Address - Country:US
Practice Address - Phone:804-229-1554
Practice Address - Fax:844-229-1754
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY70 011334111N00000X
VA0104557193111N00000X
VA0001286217163W00000X
FLAPRN11023357363LF0000X
VA0024185634363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No111N00000XChiropractic ProvidersChiropractor
No163W00000XNursing Service ProvidersRegistered Nurse