Provider Demographics
NPI:1982492195
Name:RICHMOND, JASMYNNE SHAUNAE
Entity type:Individual
Prefix:MISS
First Name:JASMYNNE
Middle Name:SHAUNAE
Last Name:RICHMOND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 R ST NW
Mailing Address - Street 2:APR 203
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001
Mailing Address - Country:US
Mailing Address - Phone:202-897-7990
Mailing Address - Fax:
Practice Address - Street 1:220 R ST NW APT 203
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-1971
Practice Address - Country:US
Practice Address - Phone:202-897-7990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-08-18
Deactivation Date:2025-04-29
Deactivation Code:
Reactivation Date:2025-07-22
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant