Provider Demographics
NPI:1265225726
Name:AUSTIN, JESSICA ANNA (MPH)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:ANNA
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 W 35TH ST APT 1
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23508-3050
Mailing Address - Country:US
Mailing Address - Phone:757-339-0546
Mailing Address - Fax:
Practice Address - Street 1:815 W 35TH ST APT 1
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23508-3050
Practice Address - Country:US
Practice Address - Phone:757-339-0546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula