Provider Demographics
NPI:1780872978
Name:NUNO, JESSICA BITTERMANN (PA-C)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:BITTERMANN
Last Name:NUNO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7601 LEWINSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-2814
Mailing Address - Country:US
Mailing Address - Phone:703-287-8277
Mailing Address - Fax:703-287-8278
Practice Address - Street 1:7601 LEWINSVILLE RD
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-2814
Practice Address - Country:US
Practice Address - Phone:703-287-8277
Practice Address - Fax:703-287-8278
Is Sole Proprietor?:No
Enumeration Date:2007-10-12
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COPA.0006406363AS0400X, 363AS0400X
VA0110004537363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant