Provider Demographics
NPI:1437134434
Name:MASTER, JAN L (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:JAN
Middle Name:L
Last Name:MASTER
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:8110 MAPLE LAWN BLVD STE 235
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:MD
Mailing Address - Zip Code:20759-2694
Mailing Address - Country:US
Mailing Address - Phone:301-340-8339
Mailing Address - Fax:301-340-9027
Practice Address - Street 1:6355 WALKER LN
Practice Address - Street 2:SUITE 508
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310-3245
Practice Address - Country:US
Practice Address - Phone:703-971-7633
Practice Address - Fax:703-971-0997
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2023-11-28
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Provider Licenses
StateLicense IDTaxonomies
VA0024164081363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner