Individual
JENNIFER L BOADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4320 SEMINARY ROAD, DEPARTMENT OF SURGERY, ALEXANDRIA, VA 22304
(703) 504-3611
Mailing address
1204 MICHIGAN CT, ALEXANDRIA, VA 22314-1363
(808) 372-6434
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN1014023
DC
363LA2200X
Adult Health Nurse Practitioner
Primary
0024165714
VA
Other
Enumeration date
01/15/2009
Last updated
01/06/2010
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