Provider Demographics
NPI:1437698057
Name:HUSKEY, JASMINE (FNP)
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:
Last Name:HUSKEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:JASMINE
Other - Middle Name:
Other - Last Name:HUSKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10800 IRON BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-1628
Mailing Address - Country:US
Mailing Address - Phone:804-318-5589
Mailing Address - Fax:804-318-5590
Practice Address - Street 1:10800 IRON BRIDGE RD
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831
Practice Address - Country:US
Practice Address - Phone:804-318-5589
Practice Address - Fax:804-318-5590
Is Sole Proprietor?:No
Enumeration Date:2017-02-15
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024176722363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily