Avery, Jasmin J
Avery, Jasmin J is an individual health care provider with primary practice located at 8316 Arlington Blvd Sutie 500, Fairfax VA 22031-5216. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Nursing Service Providers / Registered Nurse is her primary health care specialty. Avery, Jasmin J can be contacted via phone (703) 641-9161.Contact Information
Primary practice address
8316 Arlington Blvd Sutie 500
Fairfax VA 22031-5216
Phone: (703) 641-9161
Fax: (703) 645-0493
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 0001106983 | Virginia |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 0017138367 | Virginia |
Profile Details
NPI number | 1356443915 |
---|---|
LBN Legal business name | Avery, Jasmin J |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 3rd, 2006 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356443915 | NPPES |
Other | 0011 | CAREFIRST | |
Other | 5726 | CAREFIRST |
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