Individual
JESSICA MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12129 GRAHAM MEADOWS DR, RICHMOND, VA 23233-6661
(804) 288-4084
(804) 282-2601
Mailing address
7130 GLEN FOREST DR STE 101, RICHMOND, VA 23226-3754
(804) 288-4084
(804) 282-2601
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110011665
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/07/2025
Last updated
04/14/2026
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