# MS. CALLI JEAN VAN DAM

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1205201035
- **Gender:** F
- **Credential:** AGPCNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | RN1032619 | DC | Yes |

## Other

- **Enumeration date:** 12/04/2015
- **Last updated:** 03/05/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0024175551 | LICENSE | VA |
| 01 | — | AC002241 | LICENSE | MD |