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Individual

KATELIN JACKFERT EMORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8505 ARLINGTON BLVD, FAIRFAX, VA 22031-4621
(703) 280-1234
Mailing address
4168 ZINNIA LN, FAIRFAX, VA 22030-6046
(304) 395-0444

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024173156
VA

Other

Enumeration date
12/23/2015
Last updated
09/14/2018
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