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NPI Code Detail

MEDICARE: MS. JESSICA KNOX HAINES PMHNP

MEDICARE: MS. JESSICA KNOX HAINES PMHNP
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
12084P0800XPsychiatry Physician24196224VA

General Provider Information

NPI Number : 1164372983
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JESSICA KNOX HAINES PMHNP
Provider Business Mailing Address
First Line : 5101 OLD MAIN ST APT 335
Second Line :
City : HENRICO
State : VA
Zip : 23231-3012
Country : US
Telephone Number : 985-249-4146
Fax Number :
Provider Business Practice Location Address
First Line : 2301 N PARHAM RD STE 5
Second Line :
City : RICHMOND
State : VA
Zip : 23229-3171
Country : US
Telephone Number : 804-270-1124
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2026
Last Update Date : 01/31/2026

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