Jessica Fantazos, PA-C
NPI 1558673350 belongs to Jessica Fantazos, PA-C, a medical physician assistant with a practice location in Woodbridge, VA. The NPI was issued on July 8, 2010, and the record was last updated in NPPES on July 8, 2010.
This record hasn't been updated in NPPES since 2010. Details may be out of date.
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 0110002900 (VA) |
Practice location
Suite 103
Woodbridge, VA 22191-3908
Local context
Active NPPES records list 477 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 38 of them within 10 miles.
The same primary taxonomy is listed by 949 in Virginia and 40,194 nationwide.
These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.
Record history
- Name on record
- Mrs. Jessica Fantazos
- Status
- Active
- NPI issued
- Last updated in NPPES
Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.
NPPES data as of · Source: CMS NPPES
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