Provider Demographics
NPI:1194543413
Name:HAYES, JESSICA (NP)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:
Last Name:HAYES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:285 GAY RD
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20186-2312
Mailing Address - Country:US
Mailing Address - Phone:540-809-9153
Mailing Address - Fax:
Practice Address - Street 1:4207 GERMANNA HWY STE E
Practice Address - Street 2:
Practice Address - City:LOCUST GROVE
Practice Address - State:VA
Practice Address - Zip Code:22508-2040
Practice Address - Country:US
Practice Address - Phone:540-726-5659
Practice Address - Fax:540-322-2706
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024191212363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily