Jasmine, Mary

Jasmine, Mary is an individual health care provider with primary practice located at 3396 Cloverleaf Pkwy , Kannapolis NC 28083-6992. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Jasmine, Mary can be contacted via phone (704) 403-7740.

Contact Information

Primary practice address
3396 Cloverleaf Pkwy Kannapolis NC 28083-6992
Phone: (704) 403-7740
Fax: (704) 403-7750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 200418 North Carolina

Profile Details

NPI number 1548237860
LBN Legal business name Jasmine, Mary
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2006
Last updated Jun 18th, 2013 - about 11 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 1548237860 NPPES
North Carolina MEDICAID 7006631

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