Organization
THE REVIVAL RESERVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA KHARNAS (CO-OWNER)
(704) 258-1453
Entity
Organization
Contact information
Practice address
1025 N FILLMORE ST APT 228, ARLINGTON, VA 22201-6703
(704) 258-1453
Mailing address
1025 N FILLMORE ST APT 228, ARLINGTON, VA 22201-6703
(704) 258-1453
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
—
—
Other
Enumeration date
11/14/2025
Last updated
11/14/2025
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