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Individual

CARISSA LYNN PARDEKOOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2240 COLISEUM DR STE D, HAMPTON, VA 23666-5903
(888) 321-7170
Mailing address
1706 TODDS LN STE 310, HAMPTON, VA 23666-3123
(888) 321-7170

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008037
VA
363A00000X
Physician Assistant
081387
363A00000X
Physician Assistant
085005227
IL

Other

Enumeration date
10/06/2014
Last updated
06/07/2026
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