Leabo, Jessica T.

Leabo, Jessica T. is an individual health care provider with primary practice located at 8081 Innovation Park Dr , Fairfax VA 22031-4867. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Leabo, Jessica T. can be contacted via phone (571) 472-4724.

Contact Information

Primary practice address
8081 Innovation Park Dr Fairfax VA 22031-4867
Phone: (571) 472-4724
Fax: (571) 472-0241
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110002644 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110002644 Virginia

Profile Details

NPI number 1962681379
LBN Legal business name Leabo, Jessica T.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2007
Last updated Aug 31st, 2021 - 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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