Provider Demographics
NPI:1174015549
Name:DELSIGNORE, JOSLYN (PA)
Entity Type:Individual
Prefix:
First Name:JOSLYN
Middle Name:
Last Name:DELSIGNORE
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:169 A VIEW AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23503-1645
Mailing Address - Country:US
Mailing Address - Phone:508-272-8572
Mailing Address - Fax:
Practice Address - Street 1:2859 VIRGINIA BEACH BLVD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-7613
Practice Address - Country:US
Practice Address - Phone:757-395-1300
Practice Address - Fax:757-226-0247
Is Sole Proprietor?:No
Enumeration Date:2018-06-01
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
363A00000X
VA363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant