Provider Demographics
NPI:1780980375
Name:ROBINSON, JASMINE RENEE (DC)
Entity type:Individual
Prefix:DR
First Name:JASMINE
Middle Name:RENEE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 N ROYAL AVE
Mailing Address - Street 2:
Mailing Address - City:FRONT ROYAL
Mailing Address - State:VA
Mailing Address - Zip Code:22630-3526
Mailing Address - Country:US
Mailing Address - Phone:540-635-4440
Mailing Address - Fax:540-635-4450
Practice Address - Street 1:1100 N ROYAL AVE
Practice Address - Street 2:
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-3526
Practice Address - Country:US
Practice Address - Phone:540-635-4440
Practice Address - Fax:540-635-4450
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-31
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556942111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor