Individual
JASON MICHAEL REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
301 RIVERVIEW AVE STE 202A, NORFOLK, VA 23510-1065
(757) 252-9140
(757) 793-4149
Mailing address
5 PLEASANT VIEW DR, EAST GRANBY, CT 06026-9719
(203) 627-0047
(860) 714-8096
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110009548
VA
363A00000X
Physician Assistant
Primary
1546
SD
363A00000X
Physician Assistant
25MP00773400
NJ
363AS0400X
Surgical Physician Assistant
002041
CT
363AS0400X
Surgical Physician Assistant
0110009548
VA
363AS0400X
Surgical Physician Assistant
Primary
1546
SD
363AS0400X
Surgical Physician Assistant
25MP00773400
NJ
363AS0400X
Surgical Physician Assistant
PA101836
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
CT
Enumeration date
02/08/2008
Last updated
02/14/2026
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