Healthcare Provider Details

I. General information

NPI: 1568377174
Provider Name (Legal Business Name): JASMINE AMBER MARQUEZ APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JASMINE AMBER MARQUEZ-FREDERICKS APRN,FNP-C

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 LEW DEWITT BLVD STE A
WAYNESBORO VA
22980-1663
US

IV. Provider business mailing address

4635 DRYSDALE ST
ROCKINGHAM VA
22801-4161
US

V. Phone/Fax

Practice location:
  • Phone: 540-245-7940
  • Fax: 540-245-7767
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024198421
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: