Ware, Jessica Suppa

Ware, Jessica Suppa is an individual health care provider with primary practice located at 4401 Ford Ave Ste 250 , Alexandria VA 22302-1467. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Ware, Jessica Suppa can be contacted via phone (703) 379-8879.

Contact Information

Primary practice address
4401 Ford Ave Ste 250 Alexandria VA 22302-1467
Phone: (703) 379-8879
Fax: (703) 998-6821
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110001441 Virginia

Profile Details

NPI number 1003921008
LBN Legal business name Ware, Jessica Suppa
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Jun 26th, 2009 - about 15 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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