MEDICARE: JESSICA ORGANT FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	0024181628	VA

General Provider Information

NPI Number	:	1164188322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA ORGANT FNP-C

Provider Business Mailing Address
First Line	:	7804 FOREST HILL AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-1931
Country	:	US
Telephone Number	:	804-914-3702
Fax Number	:

Provider Business Practice Location Address
First Line	:	7804 FOREST HILL AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-1931
Country	:	US
Telephone Number	:	804-914-3702
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/11/2021
Last Update Date	:	05/24/2023

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