JESSICA LYNN BLAKELY AGACNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Critical Care Medicine
Provider Information
- NPI Number
1538805270- Provider Type
- Individual Provider (NPI-1)
- Credentials
- AGACNP
- Status
- Active
Contact & Location
- Address
- 3300 GALLOWS RD, FALLS CHURCH, VA, 220423307
- Phone
- (703) 776-3582
Specialties & Taxonomies
Registered Nurse, Critical Care Medicine
License: VA #0001273947
Nurse Practitioner, Acute Care
License: VA #0024184777
Nurse Practitioner, Family
License: GU #10037
Nurse Practitioner, Critical Care Medicine
Primary License: GU #10037