0024555555|Licensed Nurse Practitioner|JAMES H SMITH|James.Smith@domain.com|1234 SOUTH JORDAN Drive||ANNANDALE|VA|22003|01/28/2015|01/28/2017|N|Family Practice (Self-Proclaimed)
0024333333|Licensed Nurse Practitioner|KIM A STUDENES|Kim.Studenes@domain.com|8888 SUNSET AVENUE|Suite 123|MANASSAS|VA|20109|02/26/2015|06/30/2017|N|Obstetrics|Obstetrics (Board Certified)