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

Individual provider Physician Assistant · NPI 1942011267

Jessica P Fuller, PA is a Physician Assistant in Henrico, Virginia. Practices as a sole proprietor and works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

12216 W Broad St Ste 4B-5
Henrico, VA 23233-1062
Phone: (804) 440-4878
Fax: (804) 200-7124
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5801 Bremo Rd, Richmond, VA 23226-1907 — (804) 285-2011

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110010726 (VA)

Record details

NPI number1942011267
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJanuary 16, 2025
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026

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