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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JACQUES EMILE BUSSIERE, CSA

Active Sole Proprietor

MR. JACQUES EMILE BUSSIERE, CSA is a Surgical Physician Assistant healthcare provider located in FAIRFAX, Virginia. NPI 1366917627 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · FAIRFAX, VA

Registration Details

NPI Number
1366917627
Provider Type
Individual
Gender
Male
NPI Issued
Oct 12, 2018 (7.8011704489823 yrs)
Last Updated
Aug 13, 2025
Sole Proprietor
Yes

Practice Information

Address
12011 LEE JACKSON MEMORIAL HWY STE 501
FAIRFAX, VA, 22033
Browse VA providers · Browse ZIP 22033
Phone
7033491379
Fax
7035910005
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in FAIRFAX, VA

Name Credential NPI
FERMIN CABEZAS PA-C 1558388991
MISS JOSILU PORTELLA PHYSICIANS ASSISTANT 1225046303
MRS. ROBYN MICHELLE MORRISSETTE PA-C, ATC-R 1417036351
MRS. MARY ELIZABETH ZEMPOLICH PA-C 1881819498
LUIS I. QUINONES PA-C 1548423643
CATHERINE GRACE ENGIBOUS HOLDER PA-C 1790004844
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.