Individual
CRISTINA JELIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6355 WALKER LN STE 505, ALEXANDRIA, VA 22310-3251
(703) 389-0482
Mailing address
8137 LOVING FOREST CT, SPRINGFIELD, VA 22153-3721
(703) 389-0482
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024182101
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024182101
BOARD OF NURSING
VA
Enumeration date
07/27/2021
Last updated
07/27/2021
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