Provider Demographics
NPI:1053118315
Name:ARNDT, JESSICA BELAIR (CPO)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:BELAIR
Last Name:ARNDT
Suffix:
Gender:
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6303 LITTLE RIVER TPKE STE 150
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22312-5045
Mailing Address - Country:US
Mailing Address - Phone:703-916-0937
Mailing Address - Fax:
Practice Address - Street 1:6303 LITTLE RIVER TPKE STE 150
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312-5045
Practice Address - Country:US
Practice Address - Phone:703-916-0937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CPO03825224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist