Individual
MRS. JANINE PRIME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9306 FOREST POINT CIR, MANASSAS, VA 20110-4700
(703) 330-4300
Mailing address
6621 OAKTON AVE, HAYMARKET, VA 20169-4932
(703) 889-0969
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
0024175178
VA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
0024175178
VA
363LP2300X
Primary Care Nurse Practitioner
0024175178
VA
Other
Enumeration date
07/28/2017
Last updated
12/31/2021
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