Individual
MS. JENNIFER LEOCADIA CONLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
301 N CAMERON ST STE 100, WINCHESTER, VA 22601
(540) 536-1680
Mailing address
301 N CAMERON ST STE 100, WINCHESTER, VA 22601-6018
(540) 536-1680
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110001175
VA
363AM0700X
Medical Physician Assistant
AMD-302
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110001175
PHYSICIAN ASSISTANT LICENSE
VA
Enumeration date
08/16/2006
Last updated
05/31/2018
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