Search › Virginia › 363LF0000X
Jasmine Jackson, NP
NPI 1578112496 · on the registry since 2019
Practice
- Address
- 3400 S Crater Rd Ste B
Petersburg, VA 23805 - Phone
- (804) 733-6960
- Organisation at this address
- Southside Kidney Specialists
Southside Kidney Specialists
Liberty Dialysis Petersburg, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Additional practice sites
- 9000 Staples Mill Rd, Henrico, VA
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-09-06
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