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Individual

JESSICA LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
600 GRESHAM DR STE 8600, NORFOLK, VA 23507-1904
(757) 388-6005
(757) 388-6006
Mailing address
2727 PACES FERRY RD SE STE 1-1100, ATLANTA, GA 30339-6151
(404) 605-5699
(404) 609-7514

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005749
GA
363A00000X
Physician Assistant
0110011912
VA
363A00000X
Physician Assistant
030123
NY
363A00000X
Physician Assistant
C0009341
MD
363A00000X
Physician Assistant
MA064208
PA

Other

Enumeration date
11/12/2006
Last updated
07/06/2026
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