Individual provider · Type 1 NPI

Jessie Creakbaum, PA

Physician Assistant · Virginia Beach, VA

NPI number 1295107597 Active

Practice location

1168 First Colonial Rd Ste 201
Virginia Beach, VA 23454

Call (757) 481-1113 Map

Fax (757) 496-3822

Mailing address

PO Box 7068
Portsmouth, VA 23707-0068

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0110-005125 (VA)
Physician Assistant 363A00000X0110005125 (VA)

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 1295107597

Jessie Creakbaum, PA's National Provider Identifier is 1295107597, issued on Oct 26, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Virginia Beach, VA. The record was last updated on Jul 9, 2018.