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NPI Code Detail

MEDICARE: JASMINE MCCORMICK RN

MEDICARE:   JASMINE  MCCORMICK  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 NurseRN9673709FL

General Provider Information

NPI Number : 1780568410
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE MCCORMICK RN
Provider Business Mailing Address
First Line : 4231 NEVADA ST
Second Line :
City : AVE MARIA
State : FL
Zip : 34142-5028
Country : US
Telephone Number : 321-289-0076
Fax Number :
Provider Business Practice Location Address
First Line : 2930 IMMOKALEE RD
Second Line :
City : NAPLES
State : FL
Zip : 34110-1408
Country : US
Telephone Number : 321-289-0076
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2025
Last Update Date : 08/05/2025

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