Individual
MS. JASMINE ANISSA KIAMA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11803 JEFFERSON AVE STE 100, NEWPORT NEWS, VA 23606-4390
(757) 594-1850
Mailing address
11803 JEFFERSON AVE STE 100, NEWPORT NEWS, VA 23606-4390
(757) 594-1850
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024177042
VA
Other
Enumeration date
12/18/2018
Last updated
09/24/2024
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