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NPI Code Detail

MEDICARE: JASMINE ANN LASHAE MISNER RN

MEDICARE: JASMINE ANN LASHAE MISNER RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse647576NY
2163W00000XRegistered NurseR224250MD

General Provider Information

NPI Number : 1336484302
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE ANN LASHAE MISNER RN
Provider Business Mailing Address
First Line : 17 TALL OAKS DR
Second Line :
City : MIDDLETOWN
State : NY
Zip : 10940-6045
Country : US
Telephone Number : 845-239-4145
Fax Number :
Provider Business Practice Location Address
First Line : 10440 LITTLE PATUXENT PKWY STE 800
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-3569
Country : US
Telephone Number : 240-855-7655
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2012
Last Update Date : 12/19/2018

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