Carson, Jasmine Denise

Carson, Jasmine Denise is an individual health care provider with primary practice located at 11638 Highway 27 Ste 8 , Summerville GA 30747-8515. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Carson, Jasmine Denise can be contacted via phone (706) 907-0932.

Contact Information

Primary practice address
11638 Highway 27 Ste 8 Summerville GA 30747-8515
Phone: (706) 907-0932
Fax: (706) 657-2958
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 32953722 Georgia

Profile Details

NPI number 1073738506
LBN Legal business name Carson, Jasmine Denise
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Jan 6th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073738506 NPPES
Georgia MEDICAID 003151883A
Georgia MEDICAID 00842388B

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