Search › Virginia › 374J00000X
Jordan Braxton
NPI 1649113267 · on the registry since 2026 · sole proprietor
Practice
- Address
- 10619 Greta Lynn Ct
Fredericksburg, VA 22407 - Phone
- (301) 440-0052
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia