Kelly, Jessica

Kelly, Jessica is an individual health care provider with primary practice located at 14605 Potomac Branch Dr Ste 100 , Woodbridge VA 22191-3337. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kelly, Jessica can be contacted via phone (703) 738-4371.

Contact Information

Primary practice address
14605 Potomac Branch Dr Ste 100 Woodbridge VA 22191-3337
Phone: (703) 738-4371
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110004786 Virginia

Profile Details

NPI number 1881091874
LBN Legal business name Kelly, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2014
Last updated Nov 19th, 2014 - about 12 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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