Phanta Jah
Phanta Jah is a Nurse Practitioner in Falls Church, Virginia. Qualified in 2021, 5 years ago. Practices with Ennoble Hc Dmv LLC, a 111-clinician group and accepts Medicare assignment. Licensed in Virginia.
- Years since qualifying
- 5
- Licensed in
- VA
- In the registry since
- 2021
Practice location Address checks out
2833 Cleave DrFalls Church, VA 22042
Phone: (800) 969-1104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence 0024182355 (VA) |
|---|
Record details
| NPI number | 1174296461 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 1, 2021 |
| Last updated in NPPES | August 1, 2022 |
| Certification date | August 1, 2022 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Ennoble Hc Dmv Llc — 111 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Falls Church
-
MS. Imelda Lagrosa Cojo, NP
7283 Arlington Blvd, Falls Church, VA 22042-3200 · (703) 846-9555
-
Alexandra Caitlin Geary, MS, FNP-C
3180 Fairview Park Dr, Falls Church, VA 22042 · (703) 538-2065
-
Luis Alberto Rivera Pena, FNP-BC, RN
6521 Arlington Blvd Ste 112, Falls Church, VA 22042-3009 · (703) 854-1912
-
John Shyllon
3180 Fairview Park Dr, Falls Church, VA 22042-4583 · (703) 712-2798
-
Ailyn Grace Bernabe Sims
2833 Cleave Dr, Falls Church, VA 22042-2307 · (800) 969-1104