Most Relevant Information
Provider Data
| NPI Number: | 1003405838 |
| Provider Name: | LESLEY ANNE DEJARNETTE PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 0110-007504 |
Most Important Dates
| Enumeration Date: | 01/15/2021 |
| Last Updated: | 02/28/2023 |
Provider Practice Location
2503 S SEMINOLE TRL
MADISON
VA
227272690
Practice Location Phone/Fax
| Phone: | 5406723010 |
| Fax: |
Provider Mailing Location
13198 JAMES MADISON HWY
ORANGE
VA
229602808
Provider Mailing Phone/Fax
| Phone: | 5406723010 |
| Fax: |