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Individual

JACLYN MICHELLE HAMLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN FNP

Contact information

Practice address
555 HERNDON PKWY, HERNDON, VA 20170-5276
(703) 481-1505
Mailing address
648 BURNSIDE TER SE, LEESBURG, VA 20175-8936
(703) 400-5489

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001237651
VA
363L00000X
Nurse Practitioner
Primary
1164664
TX
363LF0000X
Family Nurse Practitioner
0017143446
VA
363LF0000X
Family Nurse Practitioner
0024174217
VA

Other

Enumeration date
10/13/2016
Last updated
01/13/2025
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