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

Jasmine Sofia Bautista

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376210112

Jasmine Sofia Bautista is a Student in an Organized Health Care Education/Training Program in Alexandria, Virginia. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

3344 Lockheed Blvd Apt 1
Alexandria, VA 22306-2031
Phone: (703) 618-1047
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1376210112
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 28, 2021
Last updated in NPPESAugust 28, 2021
Certification dateAugust 28, 2021
Mailing address3344 Lockheed Blvd Apt 1, Alexandria, VA 22306-2031

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