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Individual

TESSA G LEITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Contact information

Practice address
44045 RIVERSIDE PKWY, LEESBURG, VA 20176-5101
(703) 858-6000
(703) 858-6900
Mailing address
224 D CORNWALL STREET NW, STE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
0024190950
VA
363LA2200X
Adult Health Nurse Practitioner
0024190950
VA
363LG0600X
Gerontology Nurse Practitioner
Primary
0024190950
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1356153670
VA
05
30018201320002
VA
Enumeration date
01/23/2025
Last updated
05/11/2026
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