Individual
JASMINE KERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QPPMH,CNA
Contact information
Practice address
221 RUTHERS RD, NORTH CHESTERFIELD, VA 23235-5395
(804) 397-8907
Mailing address
221 RUTHERS RD, NORTH CHESTERFIELD, VA 23235-5395
(804) 397-8907
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
862944550
—
VA
Enumeration date
03/30/2021
Last updated
03/30/2021
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