Organization
PASSIONATE NURSE PRACTITIONER SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHADIJA MACAULLY NP (NURSE PRACTITIONER)
(540) 571-0299
Entity
Organization
Contact information
Practice address
8010 GEORGE FOX PL, LORTON, VA 22079-2347
(703) 819-4313
Mailing address
8010 GEORGE FOX PL, LORTON, VA 22079-2347
(703) 819-4313
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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