Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RS0012X | Sleep Medicine | 0101269916 | VA |
NPI | 1366708786 |
---|---|
Provider Name | Jessica Amy Riggs |
First Address | Falls Church, VA 22042-1263 |
Second Address | Leesburg, VA 20176-6821 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2012 |
Last Update Date | 27/08/2021 |