Provider Demographics
NPI:1992124861
Name:FERRER, JENIE SALES (DO)
Entity type:Individual
Prefix:DR
First Name:JENIE
Middle Name:SALES
Last Name:FERRER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MISS
Other - First Name:JENIE
Other - Middle Name:MARIE
Other - Last Name:SALES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:675 N WASHINGTON ST STE 490
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-1940
Mailing Address - Country:US
Mailing Address - Phone:703-765-6093
Mailing Address - Fax:703-765-7761
Practice Address - Street 1:675 N WASHINGTON ST STE 490
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-1940
Practice Address - Country:US
Practice Address - Phone:703-765-6093
Practice Address - Fax:703-765-7761
Is Sole Proprietor?:No
Enumeration Date:2014-04-08
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102204888208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty