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

Jerrylene David

Individual provider Nurse Practitioner · NPI 1548043904

Jerrylene David is a Nurse Practitioner in Stafford, Virginia. Qualified in 2022, 4 years ago. Practices with Primary and Urgent Care LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
4
Licensed in
VA
In the registry since
2023
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Practice location Address checks out

422 Garrisonville Rd Ste 111
Stafford, VA 22554-1573
Phone: (540) 720-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 0024187819 (VA)

Record details

NPI number1548043904
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 17, 2023
Last updated in NPPESAugust 17, 2023
Certification dateAugust 17, 2023
Mailing address422 Garrisonville Rd Ste 111, Stafford, VA 22554-1573

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Primary And Urgent Care Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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