Richardson, Jennifer

Richardson, Jennifer is an individual health care provider with primary practice located at 3 Riverside Circle , Roanoke VA 24016. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Richardson, Jennifer can be contacted via phone (540) 224-5170.

Contact Information

Primary practice address
3 Riverside Circle Roanoke VA 24016
Phone: (540) 224-5170
Fax: (540) 985-9612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110002159 Virginia

Profile Details

NPI number 1770551541
LBN Legal business name Richardson, Jennifer
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jan 13th, 2011 - about 13 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 1770551541 NPPES
Virginia MEDICAID 010249236
Virginia MEDICAID 010249244

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