Jackson, Jasmine Shanae

Jackson, Jasmine Shanae is an individual health care provider with primary practice located at 3400 S Crater Rd Ste B , Petersburg VA 23805. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jackson, Jasmine Shanae can be contacted via phone (804) 733-6960.

Contact Information

Primary practice address
3400 S Crater Rd Ste B Petersburg VA 23805
Phone: (804) 733-6960
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024178156 Virginia

Profile Details

NPI number 1578112496
LBN Legal business name Jackson, Jasmine Shanae
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2019
Last updated Sep 6th, 2019 - about 5 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.

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