Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JESSICA FANTAZOS, PA-C
ActiveMRS. JESSICA FANTAZOS, PA-C is a Medical Physician Assistant healthcare provider located in WOODBRIDGE, Virginia. NPI 1558673350 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · WOODBRIDGE, VA
Registration Details
- NPI Number
- 1558673350
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 8, 2010 (16.069864177558 yrs)
- Last Updated
- Jul 8, 2010
- License
-
0110002900 (VA)
Practice Information
- Address
-
14904 JEFFERSON DAVIS HWYSUITE 103WOODBRIDGE, VA, 221913908Browse VA providers · Browse ZIP 22191
- Phone
- 7034974222
- Fax
- 7034920164
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in WOODBRIDGE, VA
| Name | Credential | NPI |
|---|---|---|
| ARIAN AHMADZAI | P.A. | 1972599272 |
| MS. CATHLEEN MARGUERITE MIHELICH | PA-C | 1639185374 |
| TANYA C. BELLIARD | PA | 1225115033 |
| MISS LENA TRAN | — | 1558671768 |
| MICHELLE KARIMZADA | PA-C | 1689037715 |
| NITIKSHA PATEL | PA-C | 1922548130 |
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.