Individual
JILL EISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
14121 PARKE LONG CT STE 201, ADVANCE HEALTH, CHANTILLY, VA 20151-1647
(571) 512-7287
(800) 752-2471
Mailing address
14121 PARKE LONG CT, SUITE 201, CHANTILLY, VA 20151-1647
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
192357
MA
Other
Enumeration date
09/19/2008
Last updated
06/05/2014
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