Healthcare Provider Details

I. General information

NPI: 1831724319
Provider Name (Legal Business Name): AMINATA KAMARA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2020
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6131 JAMES MADISON PKWY
KING GEORGE VA
22485-5351
US

IV. Provider business mailing address

6131 JAMES MADISON PKWY
KING GEORGE VA
22485-5351
US

V. Phone/Fax

Practice location:
  • Phone: 703-660-4676
  • Fax: 703-660-4853
Mailing address:
  • Phone: 703-660-4676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024178917
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024178917
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAC008211
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number0001251330
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: