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Individual

JASMIN J AVERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
8316 ARLINGTON BLVD, SUTIE 500, FAIRFAX, VA 22031-5216
(703) 641-9161
(703) 645-0493
Mailing address
8316 ARLINGTON BLVD, SUTIE 500, FAIRFAX, VA 22031-5216
(703) 641-9161
(703) 645-0493

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001106983
VA
363L00000X
Nurse Practitioner
0017138367
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0011
CAREFIRST
01
5726
CAREFIRST
Enumeration date
09/03/2006
Last updated
09/11/2025
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