Jennifer Brooke Fortune in Virginia Beach - Physician Assistant
Jennifer Brooke Fortune - NPI 1033300538
Jennifer Brooke Fortune is a Physician Assistant in Virginia Beach, Virginia. Jennifer Brooke Fortune practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jennifer Brooke Fortune is 1033300538. The last update date is 2007-08-08.
Jennifer Brooke Fortune's current location address is 1340 N Great Neck Rd, Virginia Beach, Virginia. You can contact this provider via phone number 7574815858 and fax number 7574816265. The mailing address for Jennifer Brooke Fortune is 1340 N Great Neck Rd, Virginia Beach, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Brooke Fortune |
|---|---|
| Address | 1340 N Great Neck Rd, Virginia Beach, Virginia |
| Phone Number | 7574815858 |
| Fax Number | 7574816265 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1033300538 |
|---|---|
| Provider Enumeration Date | 2007-08-08 |
| Last Updated Date | 2007-08-08 |
Provider Mailing Address Detail
| Address | 1340 N Great Neck Rd |
|---|---|
| City | Virginia Beach |
| State | Virginia (VA) |
| Post Code | 234542268 |
| Phone Number | 7574815858 |
| Fax Number | 7574816265 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 110002564 |
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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 |
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What is the unique identification code assigned to Jennifer Brooke Fortune by the Centers for Medicare & Medicaid Services?
The Jennifer Brooke Fortune has been issued the NPI (National Provider Identifier) 1033300538. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jennifer Brooke Fortune's physical address?
The Jennifer Brooke Fortune is physically located at 1340 N Great Neck Rd, in the city of Virginia Beach, VA, with the postal code 234542268.
What is Jennifer Brooke Fortune's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jennifer Brooke Fortune is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did Jennifer Brooke Fortune receive its 1033300538 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer Brooke Fortune was assigned its 1033300538 on 2007-08-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Jennifer Brooke Fortune last refreshed?
The information related to the Jennifer Brooke Fortune, including its address, specialty, and other relevant details, was last updated on 2007-08-08.