Individual
DR. JESSICA NICOLE GIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., LCP
Contact information
Practice address
1309 JAMESTOWN RD, WILLIAMSBURG, VA 23185-3380
(757) 348-3422
Mailing address
2 DRAMMEN CT, WILLIAMSBURG, VA 23188-1000
(757) 564-8326
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810003464
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
177813
ANTHEM
VA
Enumeration date
02/06/2007
Last updated
07/08/2007
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