Doctor profile · Federal record
Dr. Jacqueline Boulris, PA-C
Medical Physician Assistant · Reston, VA
- NPI 1639937154
- 2 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1860 Town Center Dr Ste 240
Reston, VA 201905899
(703) 796-1986
Credentials & registration
- NPI registered
- March 2024 — 2 yrs on file
- Profile last updated
- February 21, 2025
- Specialty taxonomy
- 363AM0700X — NUCC code
- State license (1)
- Virginia #0110009803
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1639937154. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$52
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Aspira Women's Health INC | 1 | $29.14 | |
| Becton, Dickinson and Company | 1 | $22.43 |
By nature of payment
Frequently asked questions
What is Dr. Jacqueline Boulris's medical specialty?
Dr. Jacqueline Boulris practices Medical Physician Assistant in Reston, VA.
Where does Dr. Jacqueline Boulris practice?
Dr. Jacqueline Boulris practices at 1860 Town Center Dr Ste 240, Reston, VA 201905899. Office phone: 7037961986.
What is Dr. Jacqueline Boulris's NPI?
Dr. Jacqueline Boulris's National Provider Identifier (NPI) is 1639937154, issued by NPPES.