Individual
MR. JON BURRILL GENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
1050 W PERIMETER RD, ANDREWS AFB, MD 20762-6601
(240) 857-4530
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024170543
VA
363LF0000X
Family Nurse Practitioner
R34234
NM
Other
Enumeration date
09/26/2009
Last updated
06/23/2021
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