Basic Information
| Provider Information | |||||||||
| NPI: | 1154634178 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | JUAREZ-PILLAI | ||||||||
| FirstName: | JESSICA | ||||||||
| MiddleName: | MARIBEL | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | RN | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | JUAREZ | ||||||||
| OtherFirstName: | JESSICA | ||||||||
| OtherMiddleName: | MARIBEL | ||||||||
| OtherNamePrefix: | MISS | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | RN | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 3215 SPRING RAIN CT | ||||||||
| Address2: | |||||||||
| City: | OAK HILL | ||||||||
| State: | VA | ||||||||
| PostalCode: | 201711931 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5713305602 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3300 GALLOWS RD | ||||||||
| Address2: | |||||||||
| City: | FALLS CHURCH | ||||||||
| State: | VA | ||||||||
| PostalCode: | 220423307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7037763138 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/19/2010 | ||||||||
| LastUpdateDate: | 07/19/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WC0200X | 0001173161 | VA | Y | Nursing Service Providers | Registered Nurse | Critical Care Medicine |
No ID Information.