Individual
JANE QUINAN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1830 TOWN CENTER DRIVE, SUITE 205, RESTON, VA 20190-3236
(703) 723-7337
(703) 723-6848
Mailing address
1830 TOWN CENTER DRIVE, SUITE 205, RESTON, VA 20190-3236
(703) 435-3636
(703) 435-8145
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024165977
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010055717
—
VA
Enumeration date
08/30/2005
Last updated
05/20/2014
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