Individual
JANINE LEDEATTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
FNP-BC
Contact information
Practice address
13017 RED ADMIRAL PL, FAIRFAX, VA 22033-3727
(478) 787-9975
Mailing address
13017 RED ADMIRAL PL, FAIRFAX, VA 22033-3727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024192746
VA
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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