MRS. JOVANNA ROSE MICKIE (NPI# 1790910008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790910008 |
| Entity Type | Individual |
| Full Name | MRS. JOVANNA ROSE MICKIE |
| Credential | PA-C |
| Practice Address |
1001 Sam Perry Fredericksburg VA 22408-1822 |
| Practice Telephone | 5407411167 |
| Mailing Telephone | 5407411167 |
| Enumeration Date | 2009-05-16 |
| Last Update Date | 2012-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110002468 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 0110002468 | 05 |
| Street Address |
1001 SAM PERRY |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22408-1822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285108340 | Embrace Foster Care, LLC | Foster Care Agency | 10705 Spotsylvania Avenue, Suite 101, Fredricksberg, VA 22408 | 2019-01-11 |
| 1730698689 | Raza N Syed | Driver | 12804 Willow Point Drive, Fredericksburg, VA 22408 | 2017-09-22 |
| 1184149122 | Eve Hope Pendletom | Driver | 2717 Francis Ct, Fredericksbrg, VA 22408 | 2017-08-10 |
| 1700316304 | Transcendent Truth Inc | Counselor | 2601 Wheatland Wood Drive, Fredericksburg, VA 22408 | 2017-06-15 |
| 1487047361 | Michele Neverdon | Counselor | 150 Olde Greenwich Dr Ste 211, Fredericksburg, VA 22408 | 2015-03-16 |
| 1073903688 | Shelby Jean Galloway | Radiology | 12709 Willow Pt. Dr., Fredericksburg, VA 22408 | 2015-02-03 |
| 1417355066 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 4543 Empire Ct, Fredericksburg, VA 22408 | 2014-12-15 |
| 1154726123 | Md Wellness and Health Center | Internal Medicine | 10518 Spotsylvania Ave, Suite 102, Fredericksburg, VA 22408 | 2014-11-03 |
| 1023358595 | Joyce Catherine Corbin Moya | Social Worker | 19003 Main Street, Fredericksburg, VA 22408 | 2013-02-21 |
| 1992063234 | Gustavo A Elias | Radiology | 10401 Spotsylvania Ave Ste 203, Fredericksburg, VA 22408 | 2012-04-24 |
| Find all providers in zip 22408 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346624152 | Melissa Marie Pruner | Physician Assistant | 120 S Tan Street, Suite 1, Fredericksburg, PA 17026-0009 | 2015-07-13 |
| 1548516149 | Michele Renae Rhoe | Physician Assistant | 1985 Jefferson Davis Highway, Fredericksburg, VA 22401 | 2012-08-01 |
| 1902416605 | Jenna Elizabeth Chapman | Physician Assistant | 406 Chatham Square Office Park, Fredericksburg, VA 22405-2585 | 2020-08-06 |
| 1144843095 | Paul James Kinkead | Physician Assistant | 1101 Sam Perry Blvd, Fredericksburg, VA 22401-4467 | 2020-05-27 |
| 1538700216 | Hanna Ouellette | Physician Assistant | 406 Chatham Square Office Park, Fredericksburg, VA 22405 | 2019-10-03 |
| 1841799939 | Sean R Bodin | Physician Assistant | 125 Olde Greenwich Dr Ste 300, Fredericksburg, VA 22408-4008 | 2018-02-05 |
| 1669982898 | Benjamin C Garrison II | Physician Assistant | 125 Olde Greenwich Dr Ste 300, Fredericksburg, VA 22408-4008 | 2017-10-02 |
| 1558899906 | Sean Christopher Ober | Physician Assistant | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2017-05-30 |
| 1427400241 | Patrick Edward Ober | Physician Assistant | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2016-07-05 |
| 1841648037 | Rebecca Silverstein | Physician Assistant | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2016-05-27 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22408 |
Please comment or provide details below to improve the information on MRS. JOVANNA ROSE MICKIE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.