Healthcare Provider Details

I. General information

NPI: 1588336366
Provider Name (Legal Business Name): JAMIE M ALLPORT FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JAMIE M MCGILL

II. Dates (important events)

Enumeration Date: 09/30/2021
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 WILSON BLVD FL 6
ARLINGTON VA
22209-2281
US

IV. Provider business mailing address

1101 WILSON BLVD FL 6
ARLINGTON VA
22209-2281
US

V. Phone/Fax

Practice location:
  • Phone: 888-731-8994
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024184254
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: