Individual
JESSICA ZULLO GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4660 KENMORE AVE STE 1018, ALEXANDRIA, VA 22304-1306
(571) 483-1800
(703) 823-5723
Mailing address
4660 KENMORE AVE STE 1018, ALEXANDRIA, VA 22304-1306
(571) 483-1800
(703) 823-5723
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024171851
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194133983
—
VA
Enumeration date
07/24/2014
Last updated
05/16/2016
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