NPI 1508345802

Carrie Jones Revard, LPN

Practitioner Licensed Practical Nurse Annandale, VA

Practice location

Address: 7619 Little River Tpke STE 600, Annandale, VA 22003-2628
Phone: (703) 752-8741
Fax: (703) 752-8746

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 0002031086 (VA)

Other Licensed Practical Nurse providers in Virginia →

Registry record

NPI: 1508345802
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Aug 2018
Record last updated: 8 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.