Bala-Hampton, Justin E

Bala-Hampton, Justin E is an individual health care provider with primary practice located at 8081 Innovation Park Dr , Fairfax VA 22031-4867. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Bala-Hampton, Justin E can be contacted via phone (571) 472-4724.

Contact Information

Primary practice address
8081 Innovation Park Dr Fairfax VA 22031-4867
Phone: (571) 472-4724
Fax: (571) 472-0241
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP131676/RN 905070 Texas
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 0024178204 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024178204 Virginia

Profile Details

NPI number 1679024194
LBN Legal business name Bala-Hampton, Justin E
Credentials DNP, MPH, AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2016
Last updated Nov 27th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1679024194 NPPES
Virginia Other 0024178204 VA BOARD OF MEDICINE
Virginia MEDICAID 365493101 VA BOARD OF MEDICINE

Popular Providers