Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 0101237335 | VA |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 0101237335 | VA |
NPI | 1124079116 |
---|---|
Provider Name | Dr. Jessica L Ormsmith |
First Address | Richmond, VA 23226-3784 |
Second Address | Richmond, VA 23226-3784 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2006 |
Last Update Date | 19/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010316316 | (05) | VA |
1124079116 | (05) | VA |
I24444 | (02) | VA |