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General NPI Number Information
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NPI Number | 1639653645
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Entity Type | Individual
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Provider Name | JAZMIN LEONNA BUDD PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/17/2018
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 7400 BEAUFONT SPRINGS DR STE 300
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23225-5519
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Country | US
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Telephone | 804-404-3784
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Fax | 804-709-1167
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Provider Business Mailing Address
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Address Line | 7400 BEAUFONT SPRINGS DR STE 300
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23225-5519
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Country | US
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Telephone | 804-404-3784
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Fax | 804-709-1167
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 364SP0813X
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Taxonomy Name | Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 2023206958
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2023206958
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License Number State | VA
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