Healthcare Provider Details

I. General information

NPI: 1639653645
Provider Name (Legal Business Name): JAZMIN LEONNA BUDD PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2018
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 E PARHAM RD STE 5
RICHMOND VA
23228-2921
US

IV. Provider business mailing address

2500 E PARHAM RD STE 5
RICHMOND VA
23228-2921
US

V. Phone/Fax

Practice location:
  • Phone: 804-404-3784
  • Fax: 804-818-3881
Mailing address:
  • Phone: 804-404-3784
  • Fax: 804-818-3881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2023206958
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code364SP0813X
TaxonomyGeropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
License Number2023206958
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: