Individual
JAMIE T KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2921 TELESTAR CT, SUITE 140, FALLS CHURCH, VA 22042-1205
(703) 280-5858
(703) 280-2654
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024166610
VA
363LA2200X
Adult Health Nurse Practitioner
01165461
VA
Other
Enumeration date
03/23/2006
Last updated
08/19/2021
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