Individual
JOSIE JEAN HYAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2922 TELESTAR CT, FALLS CHURCH, VA 22042-1206
(703) 769-8420
(703) 553-8647
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-0000
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110002728
VA
363A00000X
Physician Assistant
Primary
PA030553
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110002728
LICENSE NUMBER
VA
Enumeration date
05/16/2008
Last updated
05/14/2025
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