Provider Demographics
NPI:1740368059
Name:PARROTT, JESSICA M (CPNP- PC)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:M
Last Name:PARROTT
Suffix:
Gender:F
Credentials:CPNP- PC
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Other - Credentials:
Mailing Address - Street 1:4012 RAINTREE RD
Mailing Address - Street 2:SUITE 200A
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-3741
Mailing Address - Country:US
Mailing Address - Phone:757-488-2223
Mailing Address - Fax:757-488-8398
Practice Address - Street 1:817 VOLVO PKWY
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-2855
Practice Address - Country:US
Practice Address - Phone:757-668-4630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2023-07-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0024166020208000000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010203988Medicaid