Provider Demographics
NPI:1174027700
Name:JACKSON-AKERS, JASMINE YVETTE (DO)
Entity Type:Individual
Prefix:DR
First Name:JASMINE
Middle Name:YVETTE
Last Name:JACKSON-AKERS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:JASMINE
Other - Middle Name:YVETTE
Other - Last Name:JACKSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:1906 BELLEVIEW AVE SE
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24014-1838
Mailing Address - Country:US
Mailing Address - Phone:540-266-6301
Mailing Address - Fax:540-983-1133
Practice Address - Street 1:1906 BELLEVIEW AVE SE
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24014-1838
Practice Address - Country:US
Practice Address - Phone:540-266-6301
Practice Address - Fax:540-983-1133
Is Sole Proprietor?:No
Enumeration Date:2018-03-20
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102206045207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine