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:
Mailing Address - Fax:
Practice Address - Street 1:10301 DEMOCRACY LN STE 203
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-2545
Practice Address - Country:US
Practice Address - Phone:571-407-7816
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-10
Last Update Date:2024-12-12
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant