person
Mrs. Jill Ann Ham, NP-C
Family Nurse Practitioner in Leesburg, Virginia
NPI 1164611752

Jill Ann Ham is a Family Nurse Practitioner based in Leesburg, VA and is specialized in Family. Jill Ann Ham practices in Leesburg, VA and has the professional credentials of NP-C. The NPI Number for Jill Ann Ham is 1164611752 and holds a License No. 71002526A (Virginia).

The current practice location address for Jill Ann Ham is 19465 Deerfield Ave Ste 101, Leesburg, VA and can be reached out via phone at 703-726-9720 and via fax at 703-726-9721.

Location: 19465 Deerfield Ave Ste 101, Leesburg, VA, 20176-1702
person
Provider Profile Details
NPI Number
1164611752
Provider Name
Jill Ann Ham
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
19465 Deerfield Ave Ste 101, Leesburg, VA, 20176-1702
Phone Number
703-726-9720
Fax Number
703-726-9721
Provider Enumeration Date
10/18/2007
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00833898 01 RAILROAD MEDICARE
200888840 05 IN
institution
Provider Business Practice Location Address Details
Address
19465 Deerfield Ave Ste 101
City
State
Zip
20176-1702
Phone Number
703-726-9720
Fax Number
703-726-9721
person
Provider Business Mailing Address Details
Address
19465 Deerfield Ave Ste 101
City
State
Zip
20176-1702
Phone Number
703-726-9720
Fax Number
703-726-9721
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71002526A (Indiana)
Definition
Definition to come...
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