Individual
JESSICA MARIE JEMISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP, RN, LVT
Contact information
Practice address
7864 RICHMOND TAPPAHANNOCK HWY, AYLETT, VA 23009-3056
(804) 769-2015
Mailing address
7864 RICHMOND TAPPAHANNOCK HWY, AYLETT, VA 23009-3056
(804) 769-2015
(804) 769-2014
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001304447
VA
363LF0000X
Family Nurse Practitioner
Primary
0024192201
VA
Other
Enumeration date
04/05/2023
Last updated
05/12/2026
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