Womack, Jessica Diane

Womack, Jessica Diane is an individual health care provider with primary practice located at 13700 St Francis Blvd Suite 103, Midlothian VA 23114-3222. 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. Womack, Jessica Diane can be contacted via phone (804) 379-2414.

Contact Information

Primary practice address
13700 St Francis Blvd Suite 103 Midlothian VA 23114-3222
Phone: (804) 379-2414
Fax: (804) 379-2413
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110003149 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110003149 Virginia

Profile Details

NPI number 1700110582
LBN Legal business name Womack, Jessica Diane
Credentials MPA, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2009
Last updated Sep 17th, 2020 - about 5 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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