Individual provider · Type 1 NPI

Jasmine Shanae Jackson, NP

Family Nurse Practitioner · Petersburg, VA

NPI number 1578112496 Active

Practice location

3400 S Crater Rd Ste B
Petersburg, VA 23805

Call (804) 733-6960 Map

Other practice locations

  • 9000 Staples Mill Rd, Henrico, VA 23228-2021 · (804) 977-9526

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X0024178156 (VA)

Family Nurse Practitioner: Definition to come...

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About NPI 1578112496

Jasmine Shanae Jackson, NP's National Provider Identifier is 1578112496, issued on Sep 4, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Petersburg, VA. The record was last updated on Sep 6, 2019.