Individual
HANNAH JAMIALAHMADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6404 HANOVER AVE, SPRINGFIELD, VA 22150-4105
(571) 551-1799
Mailing address
6404 HANOVER AVE, SPRINGFIELD, VA 22150-4105
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AG08230180
VA
363LA2200X
Adult Health Nurse Practitioner
AG08230180
VA
363LG0600X
Gerontology Nurse Practitioner
AG08230180
VA
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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