Individual
BONNIE JEAN JAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3300
(703) 776-4001
(703) 776-7113
Mailing address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3300
(703) 776-4001
(703) 776-7113
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0110003357
VA
363A00000X
Physician Assistant
Primary
0110003357
VA
363A00000X
Physician Assistant
C0004557
MD
363A00000X
Physician Assistant
PA030693
DC
363A00000X
Physician Assistant
PA9105583
FL
Other
Enumeration date
09/07/2010
Last updated
07/21/2022
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