Carrie Jones Revard, LPN
Licensed Practical Nurse in Annandale, VA. Individual provider (NPI-1).
NPI number1508345802
StatusActive
Last updated in NPPESAug 8, 2018
Details
- NPI
- 1508345802
- Entity type
- Individual (NPI-1)
- Name
- Carrie Jones Revard
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 8, 2018
- Last updated
- Aug 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 0002031086 | VA | Yes |
Practice location
7619 Little River Tpke Ste 600Annandale, VA 22003-2628
Phone 703-752-8741 · Fax 703-752-8746
Mailing address
7619 Little River Tpke Ste 600Annandale, VA 22003-2628
Phone 703-752-8741 · Fax 703-752-8746
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All 9 Licensed Practical Nurse providers in Annandale · All 1,278 providers in Annandale
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