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GLORIA LARSON-JADALI RN NPI 1790828358


NPI Information

NPI: 1790828358
Provider Name: GLORIA LARSON-JADALI, RN
Classification: Registered Nurse - 163WP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

Address:
4113 STEVENSON ST
STEVENSON PLACE
FAIRFAX, VA
ZIP 22030
Phone: (703) 460-6200
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Gloria Larson-jadali, RN is a psychiatric/mental health and adult registered nurse in Fairfax, VA. Gloria Larson-jadali, RN NPI is 1790828358. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4113 STEVENSON ST
STEVENSON PLACE
FAIRFAX, VA
ZIP 22030-617
Phone: (703) 460-6200
Fax: (703) 277-7090

The enumeration date for this NPI number is 2/14/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WP0809XRegistered NursePsychiatric/Mental Health, Adult0001078585VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.