Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN LIVELY, PA
Active Sole ProprietorJONATHAN LIVELY, PA is a Physician Assistant healthcare provider located in NORFOLK, Virginia. NPI 1285763391 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · NORFOLK, VA
Registration Details
- NPI Number
- 1285763391
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 5, 2007 (19.466674263472 yrs)
- Last Updated
- Sep 21, 2021
- Licenses
-
0110002350 (VA)PA030452 (DC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
600 GRESHAM DR STE 8630BNORFOLK, VA, 235071904Browse VA providers · Browse ZIP 23507
- Phone
- 7573886115
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in NORFOLK, VA
| Name | Credential | NPI |
|---|---|---|
| ANDREA L FOSTER | PA | 1376549758 |
| ERIC D POULIN | PA | 1255337143 |
| MR. DAVID GUTIERREZ | PA-C | 1033110127 |
| MS. BARBARA ANN MORRISON | PA-C | 1508850207 |
| MR. PHILIP JOHN DAUERNHEIM | PHYSICIAN ASSISTANT | 1003892852 |
| MR. JASON THOMAS CRUMP | PAC | 1104803170 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.