Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Wichern

Individual provider Nurse Practitioner · NPI 1053813105

Jacqueline Wichern is a Nurse Practitioner in Arlington, Virginia. Graduated from University of Colorado School of Medicine, Aurora in 2017, 9 years ago. Practices with Inova Health Care Services, a 1,827-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and Virginia.

Years since qualifying
9
Trained at
University of Colorado School of Medicine, Aurora
Licensed in
NC, VA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

1005 N Glebe Rd Ste 160
Arlington, VA 22201-5758
Phone: (571) 472-6464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 E Wt Harris Blvd, Charlotte, NC 28262-3485 — (704) 863-9850

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 0024185446 (VA)
Nurse Practitioner Taxonomy 363L00000X · Licence 5010338 (NC)

Record details

NPI number1053813105
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 5, 2018
Last updated in NPPESApril 1, 2024
Certification dateApril 1, 2024
Mailing address101 E Wt Harris Blvd, Building 1000 Suite 1110, Charlotte, NC 28262-3485

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, AURORA
Graduated 2017 (9 years in practice)
Group practice Inova Health Care Services — 1827 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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