Individual provider · Type 1 NPI

Jennifer Jasmine Bautista-Gogel, PA-C

Physician Assistant · Alexandria, VA

NPI number 1376829903 Active

Practice location

6020 Richmond Hwy
Alexandria, VA 22303-2157

Mailing address

10006 Marshall Pond Rd
Burke, VA 22015-3709

Other practice locations

  • 2855 Crain Hwy, Waldorf, MD 20601-2807 · (240) 427-1926
  • 2005 Knight Lane Bldg H, Navy Medicine Support Command, Jacksonville, FL 32212-0140 · (904) 542-7200

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

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…

7 other providers at this address

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About NPI 1376829903

Jennifer Jasmine Bautista-Gogel, PA-C's National Provider Identifier is 1376829903, issued on Oct 27, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Alexandria, VA. The record was last updated on Dec 2, 2025.