Individual
MR. JASON PEARCE BEISSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2001 CRYSTAL SPRING AVE SW, ROANOKE, VA 24014-2462
(540) 853-0100
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002807
VA
363A00000X
Physician Assistant
0479
NH
363A00000X
Physician Assistant
PA156566
OR
363A00000X
Physician Assistant
PA60485011
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518914290
—
VA
Enumeration date
05/28/2006
Last updated
12/15/2023
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