Individual
JARED TODD BRIZENDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 924-9055
Mailing address
PO BOX 801444, CHARLOTTESVILLE, VA 22908-0001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007130
VA
363A00000X
Physician Assistant
PA-2436
ID
Other
Enumeration date
06/22/2020
Last updated
07/22/2025
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