Individual
JASMYNE AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2300 OPITZ BLVD, WOODBRIDGE, VA 22191-3311
(770) 643-5619
Mailing address
1814 LORGNETTE CT, SEVERN, MD 21144-1635
(619) 618-5854
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
146403
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
R181652
MD
367500000X
Certified Registered Nurse Anesthetist
RN9510852
FL
Other
Enumeration date
10/20/2021
Last updated
12/21/2023
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