Provider Demographics
NPI:1710225305
Name:THOMAS, ZAINAB JALLOH (FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:ZAINAB
Middle Name:JALLOH
Last Name:THOMAS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6449 ROCKSHIRE ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22315-3437
Mailing Address - Country:US
Mailing Address - Phone:571-201-5099
Mailing Address - Fax:703-578-7228
Practice Address - Street 1:3440 S JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22041-3145
Practice Address - Country:US
Practice Address - Phone:703-578-7469
Practice Address - Fax:703-578-7228
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-16
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0024170521363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily