JESSICA DANIELLE TABB (NPI# 1871960971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871960971 |
| Entity Type | Individual |
| Full Name | JESSICA DANIELLE TABB |
| Credential | PA-C |
| Practice Address |
4714 Marshall Ave Newport News VA 23607-2326 |
| Mailing Address |
697 Hogan Dr 3230 Newport News VA 23606 |
| Practice Telephone | 7573808709 |
| Mailing Telephone | 7575425371 |
| Mailing Fax Number | 8448388114 |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2019-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
0110005073 | VA | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | 0110-005073 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1235 S Mount Vernon Ave, Williamsburg, VA 231852835 | 7579416400 | |
| 12997 Nettles Dr, Newport News, VA 236026913 | 7579416400 | |
| 14906 Jefferson Davis Hwy, Woodbridge, VA 221914016 | 7579416400 | |
| 1811 Jamestown Rd, Williamsburg, VA 231852326 | 7579416400 | |
| 23352 Courthouse Hwy, Windsor, VA 234875333 | 7579416400 | |
| 4403 Forest Hill Ave, Richmond, VA 232253241 | 7579416400 | |
| 7246 Forest Hill Ave, Richmond, VA 232251524 | 7579416400 | |
| 816 Greenbrier Cir, Suite 209, Chesapeake, VA 233202642 | 7573892554 | |
| 827 Norview Ave, Norfolk, VA 235091540 | 7579416400 | |
| 906 Thompson St, Ashland, VA 230051128 | 7579416400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568846418 | Jessica Tabb | Dentist | 102 Bryant St, Saint George, SC 29477-2160 | 2015-07-09 |
| Street Address |
4714 MARSHALL AVE |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23607-2326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942289822 | Aurora S Badavi | Pediatrics | 4714 Marshall Ave, Newport News, VA 23607-2247 | 2006-01-10 |
| 1487100566 | Deaxtra Bonham | Nurse Practitioner | 4714 Marshall Ave, Newport News, VA 23607 | 2016-08-29 |
| 1477919751 | Tina Sary | Registered Nurse | 4714 Marshall Ave, Newport News, VA 23607-2247 | 2016-01-03 |
| 1437544889 | Nicole J Finley | Nurse Practitioner | 4714 Marshall Ave, Newport News, VA 23607-2247 | 2015-04-02 |
| 1952716417 | Felicia Moody Jones | Nurse Practitioner | 4714 Marshall Ave, Newport News, VA 23607-2247 | 2014-06-24 |
| 1699926527 | Nilda R. Ante | Obstetrics & Gynecology | 4714 Marshall Ave, Dept of Obgyn, Newport News, VA 23607-2247 | 2008-10-09 |
| 1710140991 | Michael Lewis | Obstetrics & Gynecology | 4714 Marshall Ave, Newport News, VA 23607-2247 | 2008-07-08 |
| 1508846148 | David L Lorenzo | Internal Medicine | 4714 Marshall Ave, Newport News, VA 23607-2247 | 2006-01-19 |
| 1376522458 | Jesse A Hobbs | Dentist | 4714 Marshall Ave, Newport News, VA 23607-2247 | 2006-01-17 |
| 1851370951 | Michael I Parson | Family Medicine | 4714 Marshall Ave, Newport News, VA 23607-2247 | 2006-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649766296 | Mahmud Kandeel | Ambulance | 4710 Marshall Ave, Newport News, VA 23607 | 2018-07-06 |
| 1285133868 | Astrid Home Care Services, LLC | Home Health | 1024 34th St, Newport News, VA 23607 | 2018-02-08 |
| 1891293551 | Gcartransportation L.l.c | Taxi | 4214 Jeffeson Ave, Newport News, VA 23607 | 2018-01-29 |
| 1992235501 | Antuane Dewayne Lomax | Taxi | 1310 39th Street, Newport News, VA 23607 | 2017-06-15 |
| 1598205957 | Hasssan Elmi Ali | Taxi | 4214 Jefferson Ave, Newport New, VA 23607 | 2017-03-06 |
| 1790221802 | Ta Mara's Promise, LLC | Counselor | 2601 West Ave, Ste: 201, Newport, VA 23607 | 2017-01-12 |
| 1437478906 | Constance None Griffin | Contractor | 2905 Chestnut Avenue, Newport News, VA 23607 | 2010-05-24 |
| 1093048076 | Shelley Ann Brown | Technician | 634 44th Street, Newport, VA 23607 | 2009-09-09 |
| 1689808792 | Melissa Ellen Nazareth | Dentist | 2704 Chestnut Avenue, Newport News, VA 23607 | 2009-05-05 |
| 1740422237 | David Raymond Ditman | Military Health Care Provider | Uss California (ssn 781), Supervisor of Shipbuilding, Conversion& Repair, Usn, Newport News, VA 23607 | 2009-03-30 |
| Find all providers in zip 23607 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786320 | William Barr | Physician Assistant | 240 Gena Ct, Newport News, VA 23602-6300 | 2020-09-26 |
| 1407327737 | Caroline Suttle | Physician Assistant | 44 Barclay Rd, Newport News, VA 23606-1465 | 2018-12-16 |
| 1447706080 | Megan Elizabeth Cobb | Physician Assistant | 500 J Clyde Morrisl Blvd, Suite 603, Newport News, VA 23601 | 2016-09-01 |
| 1922554112 | Benjamin Timothy Housley | Physician Assistant | 12715 Warwick Blvd Ste O, Commonwealth Family Practice, Newport News, VA 23606-1800 | 2016-08-29 |
| 1679802938 | Taiwo Adeogun | Physician Assistant | 594 Hollins Ct, #105, Newport News, VA 23608-1755 | 2009-12-16 |
| 1275760035 | Ryan Julia Sykes | Physician Assistant | 11828 Canon Blvd Ste E, Newport News, VA 23606-2554 | 2009-06-18 |
| 1992961361 | Tonia Yocum | Physician Assistant | 751 J. Clyde Morris Blvd, Newport News, VA 23601 | 2008-08-05 |
| 1194813048 | Suzanne Fahy Miller | Physician Assistant | 1051 Loftis Blvd Ste 100, Newport News, VA 23606 | 2006-10-10 |
| 1043234818 | Jennifer Morrison | Physician Assistant | 11713 Jefferson Ave, Suite 200, Newport News, VA 23606-2400 | 2006-07-26 |
| 1588625610 | Craig Leslie Knott | Physician Assistant | 116 Lake Pointe Dr, Newport News, VA 23603-1375 | 2006-03-29 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23607 |
Please comment or provide details below to improve the information on JESSICA DANIELLE TABB.
| 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.