Provider Demographics
NPI:1447622451
Name:PAWLOWSKI, JESSICA (RN)
Entity type:Individual
Prefix:MISS
First Name:JESSICA
Middle Name:
Last Name:PAWLOWSKI
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:5100 W TILGHMAN ST
Mailing Address - Street 2:STE 315
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-9166
Mailing Address - Country:US
Mailing Address - Phone:919-882-0705
Mailing Address - Fax:919-873-9821
Practice Address - Street 1:3300 GALLOWS RD
Practice Address - Street 2:ANESTHESIOLOGY DEPT
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-3307
Practice Address - Country:US
Practice Address - Phone:703-776-3138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-29
Last Update Date:2024-10-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0024173042367500000X
PARN627549367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered