IndividualActive
Jasmine Tatum
NPI 1104639863 · Prosthetics Case Management · Fredericksburg, VA
Provider details
- NPI number
- 1104639863
- Entity type
- Individual
- Primary specialty
- Prosthetics Case ManagementOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
4510 Briarhaven Dr
Fredericksburg, VA 22408-7758
Phone: (240) 988-4324
Approximate (ZIP-level) locationGet directions
Mailing address
4510 Briarhaven Dr
Fredericksburg, VA 22408-7758
Registry dates
- Enumerated
- 2025-01-28
- Last updated
- 2025-02-03
- Certified
- 2025-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.