Individual
JASMINE MICHELLE TABORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 24TH ST, FORT GREGG ADAMS, VA 23801-1716
(804) 734-9967
(877) 874-1008
Mailing address
700 24TH ST, FORT GREGG ADAMS, VA 23801-1716
(804) 734-9967
(804) 734-9289
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008396
VA
Other
Enumeration date
12/05/2021
Last updated
07/11/2025
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