Provider Demographics
NPI:1467328807
Name:ROBINSON, JASMINE MIGDALIA
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:MIGDALIA
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13915 LONGWOOD MANOR CT APT 202
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-2459
Mailing Address - Country:US
Mailing Address - Phone:844-655-1485
Mailing Address - Fax:
Practice Address - Street 1:8427 DORSEY CIR STE 101
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4596
Practice Address - Country:US
Practice Address - Phone:844-655-1485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-14
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0002104848164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse