Virginia Board of Medicine Practitioner Information

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Jennifer Leigh Detrisac, MD

LICENSE # 0101260441
 
Issue Date: 5/27/2016
Expiration Date: 1/31/2026
Status: Current Active


General InformationEducationCertifications & Practice AreaInsuranceHonors & AwardsAcademic Appointments & PublicationsProceedings, Actions & ConvictionsPaid Claims
Unless otherwise indicated, this information has been self-reported and has not been verified by the Board of Medicine.


Primary Practice Address
Last Updated 1/12/2018
Watoto Pediatric & Adolescent Specialty
7915 Lake Manassas Drive
Suite 209
Gainesville , VA 20155
Phone: 571-248-0679
Fax: 571-261-9549

Location Details

  • Practitioner spends 100% of time at this location.
  • Days that practitioner sees patients at this location:
    Mon,Tue,Wed,Thur,Fri,Sat
  • Non-English Languages spoken in Office
    Spanish


Years in Active Clinical Practice
Last Updated 1/12/2018
Years in Active Clinical Practice Inside US/Canada: 1
Medicaid
Last Updated 1/12/2018
Participate in the Virginia Medicaid program
Is accepting new Virginia Medicaid patients
Virginia Hospital Affiliations
Last Updated 1/12/2018
None Reported
Hospital Affiliations in States Other Than Virginia
Last Updated 1/12/2018