Provider Demographics
NPI:1710759451
Name:ARGENZIO, JESSICA ROSE (PCD(DONA, BCD(DONA))
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:ROSE
Last Name:ARGENZIO
Suffix:
Gender:F
Credentials:PCD(DONA, BCD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2109 MOUNTAIN RUN DR
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-2261
Mailing Address - Country:US
Mailing Address - Phone:804-651-6418
Mailing Address - Fax:
Practice Address - Street 1:2109 MOUNTAIN RUN DR
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-2261
Practice Address - Country:US
Practice Address - Phone:804-651-6418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-25
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA002-00802847374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula