Provider Demographics
NPI:1407147952
Name:BENYOUNES, JENNA N (CNM)
Entity Type:Individual
Prefix:MISS
First Name:JENNA
Middle Name:N
Last Name:BENYOUNES
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 N VAIL ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-1939
Mailing Address - Country:US
Mailing Address - Phone:703-531-9541
Mailing Address - Fax:
Practice Address - Street 1:5530 WISCONSIN AVE STE 1640
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4305
Practice Address - Country:US
Practice Address - Phone:202-753-0001
Practice Address - Fax:202-753-0139
Is Sole Proprietor?:No
Enumeration Date:2011-05-02
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024169326367A00000X
MDAC002490367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife