Individual
KELLIE NOELLE JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
500 N WASHINGTON ST STE 300, FALLS CHURCH, VA 22046-3514
(571) 419-5645
(571) 419-5641
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
0024187212
VA
363LA2200X
Adult Health Nurse Practitioner
53-75106-122
KS
363LA2200X
Adult Health Nurse Practitioner
Primary
SP023623
PA
Other
Enumeration date
04/01/2010
Last updated
06/21/2023
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