Provider Demographics
NPI:1699587121
Name:BARAHONA, JENSY YUMARY (FNP)
Entity type:Individual
Prefix:
First Name:JENSY
Middle Name:YUMARY
Last Name:BARAHONA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10135 MIDDLEBROOKS TER
Mailing Address - Street 2:
Mailing Address - City:NOKESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20181-3670
Mailing Address - Country:US
Mailing Address - Phone:571-481-7521
Mailing Address - Fax:
Practice Address - Street 1:1860 TOWN CENTER DR STE 300
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-5900
Practice Address - Country:US
Practice Address - Phone:571-307-4971
Practice Address - Fax:703-662-4506
Is Sole Proprietor?:No
Enumeration Date:2025-01-22
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024191526363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner