Gifford, Jessica Nicole

Gifford, Jessica Nicole is an sole proprietor health care provider with primary practice located at 1309 Jamestown Rd , Williamsburg VA 23185-3380. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gifford, Jessica Nicole can be contacted via phone (757) 348-3422.

Contact Information

Primary practice address
1309 Jamestown Rd Williamsburg VA 23185-3380
Phone: (757) 348-3422
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810003464 Virginia

Profile Details

NPI number 1336288125
LBN Legal business name Gifford, Jessica Nicole
Credentials PSY.D., LCP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2007
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336288125 NPPES
Virginia Other 177813 ANTHEM

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