Healthcare Provider Details

I. General information

NPI: 1194757773
Provider Name (Legal Business Name): JENNIFER M VISGER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 07/13/2023
Certification Date: 07/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 LUCY DR
HARRISONBURG VA
22801-8036
US

IV. Provider business mailing address

PO BOX 388
FISHERSVILLE VA
22939-0388
US

V. Phone/Fax

Practice location:
  • Phone: 540-438-1314
  • Fax: 540-438-0797
Mailing address:
  • Phone: 540-438-1314
  • Fax: 540-438-0797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0101239648
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: