Individual provider · Type 1 NPI

Jonathan Lively, PA

Physician Assistant · Norfolk, VA

NPI number 1285763391 Active

Practice location

600 Gresham Dr Ste 8630B
Norfolk, VA 23507-1904

Call (757) 388-6115 Map

Other practice locations

  • 111 Michigan Ave NW, Washington, DC 20010-2978 · (202) 884-5000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0110002350 (VA)
Physician Assistant 363A00000XPA030452 (DC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1285763391

Jonathan Lively, PA's National Provider Identifier is 1285763391, issued on Mar 5, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Norfolk, VA. The record was last updated on Sep 29, 2026.