Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jennifer Brooke Boudreau, MD

Individual provider Family Medicine Physician · NPI 1811216021

Dr. Jennifer Brooke Boudreau, MD is a Family Practice in Leesburg, Virginia. Qualified in 2010, 16 years ago. Accepts Medicare assignment. Licensed in Virginia and West Virginia.

Years since qualifying
16
Licensed in
VA, WV
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

540 Fort Evans Rd Ste 204
Leesburg, VA 20176-3379
Phone: (703) 737-3500
Fax: (703) 737-3550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101258315 (VA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 25438 (WV)

Record details

NPI number1811216021
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 27, 2010
Last updated in NPPESOctober 13, 2016
Mailing address540 Fort Evans Rd, Suite 204, Leesburg, VA 20176-3379

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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