Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Charles Puglisi, PA-C

Individual provider Medical Physician Assistant · NPI 1902867617

Jacob Charles Puglisi, PA-C is a Medical Physician Assistant in Fort Lee, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

700 24th St
Fort Lee, VA 23801-1716
Phone: (804) 734-9226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110003638 (VA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0110003638 (VA)

Record details

NPI number1902867617
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 31, 2006
Last updated in NPPESJanuary 2, 2025
Certification dateJanuary 2, 2025

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