| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JAMIE MOLDER | 1669102133 | 2023-02-11 |
Jamie Molder is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1669102133. Registration indicates Jamie Molder is a provider of services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Nurse Practitioner: Neonatal, Critical Care, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Neonatal, Critical Care, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, ) (Nursing Service Providers, Registered Nurse) (Registered Nurse: Neonatal Intensive Care, ) (Registered Nurse Neonatal Intensive Care, Nursing Service Providers) (Registered Nurse, )
| Entity Type | Individual |
| Provider Name | Jamie Molder NNP-BC |
| Practice Office Address | 3300 GALLOWS RD FALLS CHURCH, VA US |
| Practice Office Telephone | 5125654052 |
| Mailing Address | 2730-B PROSPERITY AVE FAIRFAX, VA 22031 US |
| Business Telephone | 7032891426 |
| CONNECT URL [] | Vienna |
| Code | Practice | License No State |
|---|---|---|
| 363LN0005X PRIMARY | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Neonatal, Critical Care All Other Specialties & Provider Types Nurse Practitioner Neonatal, Critical Care Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 0024185193
VA |
| 163WN0002X | Nursing Service Providers Registered Nurse Registered Nurse: Neonatal Intensive Care Registered Nurse Neonatal Intensive Care Nursing Service Providers Registered Nurse | 1279736
VA |