Search › Virginia › 1041S0200X
Jasmine Etheridge
NPI 1225848492 · on the registry since 2025
Practice
- Address
- 1700 Dahlia Dr
Virginia Beach, VA 23453 - Phone
- (757) 997-5027
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1041S0200X
1041S0200X
- Also registered as
- 104100000X
1041C0700X - Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-01-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia