Provider Demographics
NPI:1083242671
Name:JONES, JASMINE PHYLISHA (DO)
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:PHYLISHA
Last Name:JONES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4630 S LABURNUM AVE STE D
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23231-2441
Mailing Address - Country:US
Mailing Address - Phone:804-226-2444
Mailing Address - Fax:804-593-5584
Practice Address - Street 1:4630 S LABURNUM AVE STE D
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23231-2441
Practice Address - Country:US
Practice Address - Phone:804-226-2444
Practice Address - Fax:804-592-5584
Is Sole Proprietor?:No
Enumeration Date:2020-03-30
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102207709207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine