Kennedy, Jamie

Kennedy, Jamie is an individual health care provider with primary practice located at 5510 Alma Ln , Springfield VA 22151-4027. 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. Kennedy, Jamie can be contacted via phone (703) 642-5990.

Contact Information

Primary practice address
5510 Alma Ln Springfield VA 22151-4027
Phone: (703) 642-5990
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110-009090 Virginia

Profile Details

NPI number 1750097507
LBN Legal business name Kennedy, Jamie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2023
Last updated Jan 25th, 2023 - about 3 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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