Provider Demographics
NPI:1316620784
Name:SKURSKY, JENNIE MAE (PA-C)
Entity type:Individual
Prefix:MS
First Name:JENNIE
Middle Name:MAE
Last Name:SKURSKY
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:10301 DEMOCRACY LN STE 203
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-2545
Mailing Address - Country:US
Mailing Address - Phone:571-407-7816
Mailing Address - Fax:703-223-5042
Practice Address - Street 1:15201 SHADY GROVE RD STE 103
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3217
Practice Address - Country:US
Practice Address - Phone:240-261-6437
Practice Address - Fax:240-912-4173
Is Sole Proprietor?:No
Enumeration Date:2023-08-10
Last Update Date:2025-11-12
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant