Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE ANNE BOULRIS, PA-C
ActiveJACQUELINE ANNE BOULRIS, PA-C is a Medical Physician Assistant healthcare provider located in RESTON, Virginia. NPI 1639937154 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · RESTON, VA
Registration Details
- NPI Number
- 1639937154
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 11, 2024 (2.466546116051 yrs)
- Last Updated
- Feb 21, 2025
- License
-
0110009803 (VA)
Practice Information
- Address
-
1860 TOWN CENTER DR STE 240RESTON, VA, 201905899Browse VA providers · Browse ZIP 20190
- Phone
- 7037961986
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in RESTON, VA
| Name | Credential | NPI |
|---|---|---|
| MR. STEVEN FREDERICK WILLIAMS | PA | 1790769453 |
| SHANNON MARIE ASKO | PA | 1730153313 |
| MRS. COLLEEN DENISE KELLEY | PA-C | 1861433088 |
| BRITT CHRISTINA KLICK | PA | 1073530135 |
| ANGELIQUE V BLACK | PA | 1932127644 |
| ELIZABETH HAMILTON SIBERT | PA-C | 1053413385 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.