Individual
JESSICA ANN BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13875 HEDGEWOOD DR STE 210, WOODBRIDGE, VA 22193-5922
(703) 434-3633
Mailing address
6011 ARCHSTONE WAY APT 103, ALEXANDRIA, VA 22310-5515
(402) 690-5916
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110009658
VA
363A00000X
Physician Assistant
2869
NE
Other
Enumeration date
10/04/2022
Last updated
04/12/2024
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