MEDICARE: JASMINE GROSSE

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
1	163W00000X	Registered Nurse	990222	TX

General Provider Information

NPI Number	:	1437092632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASMINE GROSSE

Provider Business Mailing Address
First Line	:	609 NE 8TH ST
Second Line	:
City	:	BIG SPRING
State	:	TX
Zip	:	79720-1417
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 W VETERANS BLVD
Second Line	:
City	:	BIG SPRING
State	:	TX
Zip	:	79720-5566
Country	:	US
Telephone Number	:	615-355-3451
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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Directions to “ JASMINE GROSSE ” Practice Location

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