Individual
JINAN MOUKALED PRATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
5855 BREMO RD, RICHMOND, VA 23226-1930
(804) 893-8676
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024182458
VA
Other
Enumeration date
07/29/2021
Last updated
08/25/2021
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