Blakely, Jessica Lynn
Blakely, Jessica Lynn is an individual health care provider with primary practice located at 3300 Gallows Rd , Falls Church VA 22042-3307. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine is her primary health care specialty. Blakely, Jessica Lynn can be contacted via phone (703) 776-3582.Contact Information
Primary practice address
3300 Gallows Rd
Falls Church VA 22042-3307
Phone: (703) 776-3582
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Critical Care Medicine | 163WC0200X | 0001273947 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 0024184777 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 10037 | Guam |
| Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | 10037 | Guam |
Profile Details
| NPI number | 1538805270 |
|---|---|
| LBN Legal business name | Blakely, Jessica Lynn |
| Credentials | AGACNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2022 |
| Last updated | Jan 15th, 2025 - about last year |
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.
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