Simms, Jessica Kelly

Simms, Jessica Kelly is an individual health care provider with primary practice located at 19415 Deerfield Ave Ste 314 , Leesburg VA 20176-8472. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Simms, Jessica Kelly can be contacted via phone (703) 723-7171.

Contact Information

Primary practice address
19415 Deerfield Ave Ste 314 Leesburg VA 20176-8472
Phone: (703) 723-7171
Fax: (703) 723-7176
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110006087 Virginia

Profile Details

NPI number 1376044164
LBN Legal business name Simms, Jessica Kelly
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2018
Last updated Mar 7th, 2024 - about 2 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 1376044164 NPPES
Virginia Other 0110006087 VIRGINIA LICENSE
Virginia MEDICAID 1376044164 VIRGINIA LICENSE
Virginia MEDICAID 30016148880002 VIRGINIA LICENSE

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