NPI 1457892960
Jackie Wiggins, CRT
Practice location
- Address
- 15000 Potomac Town Pl, Woodbridge, VA 22191-6586
- Phone
- (678) 237-6150
Registered specialties (2)
Home Health Certified Respiratory Therapist
Primary
Home Health Agency
Registry record
- NPI
- 1457892960
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Mar 2017
- Record last updated
- 16 Mar 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.