Healthcare Provider Details

I. General information

NPI: 1750770459
Provider Name (Legal Business Name): JESSICA L HUNT D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2015
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 N GEORGE MASON DR STE 155
ARLINGTON VA
22205-3610
US

IV. Provider business mailing address

525 MONTGOMERY ST APT 561
ALEXANDRIA VA
22314-5537
US

V. Phone/Fax

Practice location:
  • Phone: 540-607-0061
  • Fax:
Mailing address:
  • Phone: 540-607-0061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number036.175168
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number0102204101
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberOS21681
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number565066
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0102204101
License Number StateVA
# 6
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberDO.OP.70119265-IMLC
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: