Jennifer Richardson in Roanoke - Physician Assistant

Jennifer Richardson - NPI 1770551541

Jennifer Richardson is a Physician Assistant in Roanoke, Virginia. Jennifer Richardson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jennifer Richardson is 1770551541. The last update date is 2011-01-13.

Jennifer Richardson's current location address is 3 Riverside Circle, Roanoke, Virginia. You can contact this provider via phone number 5402245170 and fax number 5409859612. The mailing address for Jennifer Richardson is 3 Riverside Circle, Roanoke, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Richardson
Address 3 Riverside Circle, Roanoke, Virginia
Phone Number 5402245170
Fax Number 5409859612
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1770551541
Provider Enumeration Date 2006-03-09
Last Updated Date 2011-01-13

Provider Mailing Address Detail

Address 3 Riverside Circle
City Roanoke
State Virginia (VA)
Post Code 24016
Phone Number 5402245170
Fax Number 5409859612

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 110002159
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10249236 VA --
10249244 VA --

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FAQs about Jennifer Richardson

What is the unique identification code assigned to Jennifer Richardson by the Centers for Medicare & Medicaid Services?

The Jennifer Richardson has been issued the NPI (National Provider Identifier) 1770551541. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Jennifer Richardson is located?

The Jennifer Richardson is situated at the following address: 3 Riverside Circle, Roanoke, VA, 24016.

What is Jennifer Richardson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jennifer Richardson's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.

On what date did Jennifer Richardson receive its 1770551541 assignment from the Centers for Medicare & Medicaid Services?

The Jennifer Richardson was assigned its 1770551541 on 2006-03-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Jennifer Richardson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jennifer Richardson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-01-13.

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