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

Jennifer Ebbertt, RN

Individual provider Family Nurse Practitioner · NPI 1104410273

Jennifer Ebbertt, RN is a Nurse Practitioner in Leesburg, Virginia. Qualified in 2021, 5 years ago. Practices with Loudoun Medical Group, PC, a 274-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
5
Licensed in
VA
In the registry since
2021
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

19465 Deerfield Ave Ste 405
Leesburg, VA 20176-1707
Phone: (571) 252-8119
Fax: (571) 252-8119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024192366 (VA)

Record details

NPI number1104410273
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedMarch 1, 2021
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026
Mailing address224d Cornwall St Nw Ste 403, Leesburg, VA 20176-2704

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Loudoun Medical Group, Pc — 274 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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