Healthcare Provider Details

I. General information

NPI: 1003851734
Provider Name (Legal Business Name): JESSICA E DANCIS
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7263E ARLINGTON BLVD
FALLS CHURCH VA
22042-3219
US

IV. Provider business mailing address

5000 CHESHIRE LN N
PLYMOUTH MN
55446-3706
US

V. Phone/Fax

Practice location:
  • Phone: 703-207-9220
  • Fax: 703-207-9221
Mailing address:
  • Phone: 888-333-9152
  • Fax: 763-268-4240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number00920
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number2101001438
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: