Individual
JAYNE MELROSE-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
6565 ARLINGTON BLVD., FALLS CHURCH, VA 22042
(703) 534-1000
(703) 536-7763
Mailing address
6565 ARLINGTON BLVD., STE.210, FALLS CHURCH, VA 22042
(703) 534-1000
(703) 536-7763
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024074953
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00789319
—
VA
Enumeration date
05/05/2006
Last updated
01/27/2012
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