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

MS. Lisset Vanessa Jarquin, PA

Individual provider Physician Assistant · NPI 1396429221

MS. Lisset Vanessa Jarquin, PA is a Physician Assistant in Reston, Virginia. Graduated from Wake Forest University School of Medicine in 2023, 3 years ago. Practices with Loudoun Medical Group, PC, a 274-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
3
Trained at
Wake Forest University School of Medicine
Licensed in
VA
In the registry since
2023
Specialties on file
2
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

1860 Town Center Dr Ste 150
Reston, VA 20190-5905
Phone: (703) 480-0220
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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 0110009449 (VA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1396429221
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 12, 2023
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Loudoun Medical Group, Pc — 274 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

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