MEDICARE: JASMINE WARD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1366163222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASMINE WARD

Provider Business Mailing Address
First Line	:	780 LYNNHAVEN PKWY STE 400
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-7332
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	780 LYNNHAVEN PKWY STE 400
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-7332
Country	:	US
Telephone Number	:	252-922-0348
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2022
Last Update Date	:	04/20/2026

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Directions to “ JASMINE WARD ” Practice Location

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