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Phanta Jah
Primary Care Nurse Practitioner in Falls Church, Virginia
NPI 1174296461

Phanta Jah is a Primary Care Nurse Practitioner based in Falls Church, VA and is specialized in Primary Care. Phanta Jah practices in Falls Church, VA. The NPI Number for Phanta Jah is 1174296461 and holds a License No. 0024182355 (Virginia).

The current practice location address for Phanta Jah is 2833 Cleave Dr., Falls Church, VA and can be reached out via phone at 800-969-1104. You can also correspond with Phanta Jah through the mailing address at 2833 CLEAVE DR., FALLS CHURCH, VA - 22042-1837 (mailing address contact number: 180-096-9110).

Location: 2833 Cleave Dr., Falls Church, VA, 22042-1837
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174296461
Provider Name
Phanta Jah
Credential
Provider Entity Type
Individual
Gender
Female
Address
2833 Cleave Dr., Falls Church, VA, 22042-1837
Phone Number
800-969-1104
Fax Number
Provider Enumeration Date
08/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2833 Cleave Dr.
City
Falls Church
State
Virginia
Zip
22042
Phone Number
800-969-1104
Fax Number
person
Provider Business Mailing Address Details
Address
2833 Cleave Dr.
City
Falls Church
State
Virginia
Zip
22042-1837
Phone Number
180-096-9110
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
0024182355 (Virginia)
Definition
Definition to come...
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