NPI 1174250062 · live from the CMS NPI Registry
Jasmine J. Awad, CPNP
Nurse Practitioner, Pediatrics in Midlothian, VA. National Provider Identifier 1174250062, active.
NPI record
| NPI | 1174250062 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 5955 Harbour Park Dr, Midlothian, VA 23112 |
| Practice phone | 804-744-4495 |
| Mailing address | 12100 Diamond Hill Dr, Midlothian, VA 23113 |
| Enumerated | August 2, 2022 |
| Last updated | December 19, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 0001252409 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.