Provider Demographics
NPI:1689450710
Name:BABIY, JORDAN SANCHEZ (FNP-C)
Entity Type:Individual
Prefix:
First Name:JORDAN
Middle Name:SANCHEZ
Last Name:BABIY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 BURNETTS WAY STE 107
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-6149
Mailing Address - Country:US
Mailing Address - Phone:757-738-1375
Mailing Address - Fax:
Practice Address - Street 1:148 BURNETTS WAY STE 107
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-6149
Practice Address - Country:US
Practice Address - Phone:757-738-1375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024187855363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily