Provider Demographics
NPI:1376189696
Name:BARCELON, JANA (FNP)
Entity Type:Individual
Prefix:
First Name:JANA
Middle Name:
Last Name:BARCELON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 S SHIRLINGTON RD STE 500
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22206-3618
Mailing Address - Country:US
Mailing Address - Phone:703-717-4245
Mailing Address - Fax:
Practice Address - Street 1:2800 S SHIRLINGTON RD STE 500
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22206-3618
Practice Address - Country:US
Practice Address - Phone:703-717-4245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-21
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX965737163W00000X
TXAP141622363LF0000X
VA24181381363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse