Individual
JOHN SHYLLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3180 FAIRVIEW PARK DR, FALLS CHURCH, VA 22042-4583
(703) 712-2798
Mailing address
3521 COXCOMB MEWS, WOODBRIDGE, VA 22193-5311
(703) 586-2587
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024185579
VA
363LP2300X
Primary Care Nurse Practitioner
0024185579
VA
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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