Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKIE WIGGINS, CRT
Active Sole ProprietorJACKIE WIGGINS, CRT is a 2278H0200X healthcare provider located in WOODBRIDGE, Virginia. NPI 1457892960 is currently active in the NPPES registry. Verify at CMS.
2278H0200X · WOODBRIDGE, VA
Registration Details
- NPI Number
- 1457892960
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 16, 2017 (9.3747189834154 yrs)
- Last Updated
- Mar 16, 2017
- Licenses
-
0117007960 (VA)1401181619 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15000 POTOMAC TOWN PLWOODBRIDGE, VA, 221916586Browse VA providers · Browse ZIP 22191
- Phone
- 6782376150
- Primary Specialty
-
2278H0200X
2278H0200X
- Additional Specialty
- Home Health
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.