Individual
MRS. JESSICA L. PIONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
58 CARROLL ST STE 2, LEBANON, VA 24266-4510
(276) 883-8086
Mailing address
58 CARROLL ST STE 2, LEBANON, VA 24266-4510
(276) 883-8086
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004743
VA
363AS0400X
Surgical Physician Assistant
0110004743
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154724607
—
VA
01
—
P01477858
RR MEDICARE
VA
Enumeration date
09/29/2014
Last updated
03/03/2026
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