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

Mrs. Jessica Fantazos, PA-C

Individual provider Medical Physician Assistant · NPI 1558673350

Mrs. Jessica Fantazos, PA-C is a Medical Physician Assistant in Woodbridge, Virginia. Licensed in Virginia. Registered with an NPI since 2010.

Licensed in
VA
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

14904 Jefferson Davis Hwy Ste 103
Woodbridge, VA 22191-3908
Phone: (703) 497-4222
Fax: (703) 492-0164
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0110002900 (VA)

Record details

NPI number1558673350
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 8, 2010
Last updated in NPPESJuly 8, 2010

Other providers in Woodbridge