Individual
JACQUELINE KATHY TELLEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 WILSON BLVD FL 6, ARLINGTON, VA 22209-2281
(888) 731-8994
Mailing address
1101 WILSON BLVD FL 6, ARLINGTON, VA 22209-2281
(888) 731-8994
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0000031726
TN
363LF0000X
Family Nurse Practitioner
Primary
0024188373
VA
Other
Enumeration date
09/22/2022
Last updated
03/19/2026
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