Individual
MS. JENNIFER LYNN LESEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
171 ELDEN ST STE 3B, HERNDON, VA 20170-4834
(703) 709-9771
(888) 519-0045
Mailing address
2727 S QUINCY ST APT 812, ARLINGTON, VA 22206-2359
(703) 282-2086
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12324764-1206
UT
363AS0400X
Surgical Physician Assistant
0110003679
VA
363AS0400X
Surgical Physician Assistant
PA030782
DC
Other
Enumeration date
10/03/2011
Last updated
11/18/2021
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