Individual provider · NPI-1
Heather Jefferson
Peer Specialist · Ashburn, VA
NPI number1679405567
StatusActive
Last updated in NPPESAug 11, 2026
Details
- NPI
- 1679405567
- Entity type
- Individual (NPI-1)
- Name
- Heather Jefferson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 2, 2026
- Certification date
- Aug 11, 2026
- Last updated
- Aug 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | VA | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | VA | |
| 172V00000X | Community Health Worker | – | VA |
Practice location
44121 Leesburg Pike Ste 275Ashburn, VA 20147-5671
Phone 571-246-6704 · Fax 571-746-9040
Mailing address
44121 Leesburg Pike Ste 275Ashburn, VA 20147-5671
Phone 571-246-6704 · Fax 571-746-9040
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