Individual
JESSICA NICOLE ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3620 JOSEPH SIEWICK DR STE 201, FAIRFAX, VA 22033-1758
(703) 391-0111
(703) 391-0213
Mailing address
3620 JOSEPH SIEWICK DR STE 201, FAIRFAX, VA 22033-1758
(703) 391-0111
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110-005746
VA
Other
Enumeration date
04/27/2017
Last updated
12/23/2019
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