Individual
JILL COURTNEY FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3600 JOSEPH SIEWICK DR, DEPARTMENT OF ANESTHESIOLOGY, FAIRFAX, VA 22033-1709
(703) 391-3129
Mailing address
11781 LEE JACKSON MEMORIAL HWY 550, FAIRFAX, VA 22033-3309
(703) 766-9737
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024168159
VA
Other
Enumeration date
05/05/2009
Last updated
07/07/2015
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