Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jasmine Shanae Jackson, NP

Individual provider Family Nurse Practitioner · NPI 1578112496

Jasmine Shanae Jackson, NP is a Family Nurse Practitioner in Petersburg, Virginia. Works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2019
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

3400 S Crater Rd Ste B
Petersburg, VA 23805
Phone: (804) 733-6960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9000 Staples Mill Rd, Henrico, VA 23228-2021 — (804) 977-9526

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024178156 (VA)

Record details

NPI number1578112496
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 4, 2019
Last updated in NPPESSeptember 6, 2019

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