Individual
DR. JAZMIN NICOLE SHAWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
633 MDG, 77 NEALY AVE, HAMPTON, VA 23665
(757) 764-6996
Mailing address
633 MEDICAL GROUP, 77 NEALY AVE, HAMPTON, VA 23665
(901) 490-1144
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
27498
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/07/2017
Last updated
05/25/2022
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