Healthcare Provider Details

I. General information

NPI: 1730458134
Provider Name (Legal Business Name): JASMINE ALICE CESSNA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2011
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3505 AUSTIN BLUFFS PARKWAY STE 101
COLORADO SPRINGS CO
80918
US

IV. Provider business mailing address

3505 AUSTIN BLUFFS PARKWAY STE 101
COLORADO SPRINGS CO
80918
US

V. Phone/Fax

Practice location:
  • Phone: 719-262-0022
  • Fax: 719-275-4756
Mailing address:
  • Phone: 719-262-0022
  • Fax: 719-545-3878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHA0019557
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number21568
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: