Individual
JENNIFER FOWLER LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20306 BADGER LN, ONLEY, VA 23418-2001
(757) 414-0400
(757) 414-0569
Mailing address
20280 MARKET ST, ONANCOCK, VA 23417-1331
(757) 787-7374
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110004450
VA
Other
Enumeration date
02/20/2014
Last updated
03/18/2026
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