Individual
DR. JESSICA ROBIN BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
825 FAIRFAX AVE, SUITE 610, NORFOLK, VA 23507-1914
(757) 446-8960
(757) 446-5197
Mailing address
PO BOX 936, EVMS MEDICAL GROUP, NORFOLK, VA 23501-0936
(757) 446-8960
(757) 446-5197
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
0101257867
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-019
TRICARE/CHAMPUS
VA
01
—
10150094
OPTIMA HEALTH
VA
01
—
1609019314
COVENTRY NETWORK
VA
05
—
1609019314
—
NC
05
—
1609019314
—
VA
Enumeration date
04/10/2009
Last updated
11/17/2015
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