| Jacqueline Anne Boulris, PA-C | |
|
1860 Town Center Dr Ste 240, Reston, VA 20190-5899 | |
| (703) 796-1986 | |
| Not Available |
| Full Name | Jacqueline Anne Boulris |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 1860 Town Center Dr Ste 240, Reston, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639937154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 0110009803 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Anne Boulris, PA-C 15060 Sw 71st Ct, Palmetto Bay, FL 33158-2100 Ph: (305) 397-3135 | Jacqueline Anne Boulris, PA-C 1860 Town Center Dr Ste 240, Reston, VA 20190-5899 Ph: (703) 796-1986 |
Priscilla Khai-linh Nguyen, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1860 Town Center Dr Ste 335, Reston, VA 20190 Phone: 703-787-3322 Fax: 703-787-3380 | |
Mrs. Julieanne Bonner Sugg, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 11357 Sunset Hills Rd, Reston, VA 20190 Phone: 703-435-5858 Fax: 703-435-5877 | |
Ian Jacob Henry, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1850 Town Center Pkwy, Reston, VA 20190 Phone: 703-689-9000 | |
Erik A Larsen, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1850 Town Center Parkway, Suite 400, Reston, VA 20190 Phone: 703-810-5202 Fax: 703-787-9664 | |
Colin Phillips, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1850 Town Center Pkwy, Reston, VA 20190 Phone: 703-689-9000 | |
Thao Nguyen Allen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1831 Wiehle Ave, Suite 200, Reston, VA 20190 Phone: 703-709-1114 Fax: 703-709-6516 | |
Mr. Nickolas Patrick Forsberg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11800 Sunrise Valley Dr Fl 8, Reston, VA 20191 Phone: 703-709-1114 |