Basic Information
| Provider Information | |||||||||
| NPI: | 1316295991 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SPEER | ||||||||
| FirstName: | JANICE | ||||||||
| MiddleName: | ZIPF | ||||||||
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| Credential: | FNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 209 ELDEN ST | ||||||||
| Address2: | STE 209 | ||||||||
| City: | HERNDON | ||||||||
| State: | VA | ||||||||
| PostalCode: | 201704846 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7032662442 | ||||||||
| FaxNumber: | 7032667158 | ||||||||
| Practice Location | |||||||||
| Address1: | 209 ELDEN ST | ||||||||
| Address2: | STE 209 | ||||||||
| City: | HERNDON | ||||||||
| State: | VA | ||||||||
| PostalCode: | 201704846 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7032662442 | ||||||||
| FaxNumber: | 7032667158 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/29/2012 | ||||||||
| LastUpdateDate: | 04/26/2019 | ||||||||
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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 | 363LF0000X | 0024170255 | VA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.