IndividualActive
Angel Jasper
NPI 1780222802 · Licensed Practical Nurse · Manassas, VA
Provider details
- NPI number
- 1780222802
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0002054616 (VA)
Specialties & taxonomies
Nursing Service Providers
Practice location
10550 Linden Lake Plz
Manassas, VA 20109-6495
Phone: (571) 921-0643
Approximate (ZIP-level) locationGet directions
Mailing address
10550 Linden Lake Plz
Manassas, VA 20109-6495
Registry dates
- Enumerated
- 2019-12-19
- Last updated
- 2019-12-19
- Certified
- 2019-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.