Individual
JESSICA CANAVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7051 HEATHCOTE VILLAGE WAY STE 230, GAINESVILLE, VA 20155-3266
(571) 472-4200
(703) 279-4201
Mailing address
7051 HEATHCOTE VILLAGE WAY STE 230, GAINESVILLE, VA 20155-3266
(571) 472-4200
(703) 279-4201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30017807210001
—
VA
Enumeration date
12/22/2023
Last updated
11/13/2025
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