# JESSICA GANDHI

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1003226036
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | C0007819 | MD | Yes |
| 363A00000X | Physician Assistant | PA6749 | MA | — |
| 363AM0700X | Medical Physician Assistant | 0110-004568 | VA | — |

## Other

- **Enumeration date:** 04/29/2014
- **Last updated:** 08/26/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0110-004568 | COMMONWEALTH OF VIRGINIA | VA |