Jennifer Ballard Squires, APRN, BC (NURSEPRACT - Nurse Practitioner in Fairfax, VA

Jennifer Ballard Squires, APRN, BC (NURSEPRACT is a Nurse Practitioner - Family based in Fairfax, Virginia. Jennifer Ballard Squires is licensed to practice in Virginia (license number 000121124) and her current practice location is 8613 Route 29 # 200n, Fairfax, Virginia. She can be reached at her office (for appointments etc.) via phone at (571) 350-8400.

NPI number for Jennifer Ballard Squires is 1306880588 and her current mailing address is 3040 Williams Dr Ste 100, Fairfax, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306880588.

Contact Information

Jennifer Ballard Squires, APRN, BC (NURSEPRACT
8613 Route 29 # 200n,
Fairfax, VA 22031-2171
(571) 350-8400
(703) 280-9596

Map and Direction




Provider's Profile

Full NameJennifer Ballard Squires
GenderFemale
SpecialityNurse Practitioner - Family
Location8613 Route 29 # 200n, Fairfax, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306880588
  • Provider Enumeration Date: 06/16/2006
  • Last Update Date: 04/24/2024

Medical Identifiers

Medical identifiers for Jennifer Ballard Squires such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306880588NPI-NPPES
0024169800OtherVANURSE PRACTITIONER LICENSE
16322OtherCACA NURSEPRACTIONERLICENSE
669572OtherCARN LICENSE
AC000572OtherMDMD NP LICENSE
0001211124OtherVAVA RN LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 669572 (California)Secondary
363L00000XNurse Practitioner AC000572 (Maryland)Secondary
363LF0000XNurse Practitioner - Family 000121124 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Ballard Squires is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jennifer Ballard Squires, APRN, BC (NURSEPRACT
3040 Williams Dr Ste 100,
Fairfax, VA 22031-4618

Ph: (571) 350-8400
Jennifer Ballard Squires, APRN, BC (NURSEPRACT
8613 Route 29 # 200n,
Fairfax, VA 22031-2171

Ph: (571) 350-8400

Reviews and Comments


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