Search › Virginia › 363A00000X
Jessie Creakbaum, PA
NPI 1295107597 · on the registry since 2015
Practice
- Address
- 1168 First Colonial Rd Ste 201
Virginia Beach, VA 23454 - Phone
- (757) 481-1113
- Fax
- (757) 496-3822
- Organisation at this address
- Bayview Physician Services, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 40
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia