JACQUELINE BOULRIS, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1639937154
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | 0110009803 (VA) |
Frequently Asked Questions
NPI 1639937154 is the National Provider Identifier for JACQUELINE BOULRIS, PA-C, a Physician Assistant - Medical provider located in Reston, VA. This NPI was enumerated on March 11, 2024.
JACQUELINE BOULRIS, PA-C practices at 1860 TOWN CENTER DR STE 240, Reston, VA 20190.
Quick Facts
- NPI
- 1639937154
- Type
- Individual
- Enumerated
- Mar 11, 2024
- Last Updated
- Feb 21, 2025
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