Individual ProviderJannen Lee PallasNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3600 Joseph Siewick Dr, Fairfax, VA 22033-1709(703) 293-9590(516) 945-3107PECOS EnrollmentBased on the most recent information from CMS, provider Jannen Lee Pallas does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:15 AM.Profile DetailsProvider ID1548683733Provider TypeIndividualFull NamePallas, Jannen LeeTitleMs.CredentialCRNAGenderFemaleSole ProprietorNoEnumeration Date1/24/2014Last Updated3/12/2024Contact InformationPractice LocationPractice Address3600 Joseph Siewick Dr, Fairfax, VA 22033-1709Phone(703) 293-9590FaxUnlisted FaxMailing LocationMailing Address68 S Service Rd Ste 350, Melville, NY 11747-2358Phone(516) 945-3107Fax(516) 945-3131Provider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicense0024171455VirginiaCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicense0001203329Virginia