Healthcare Provider Details

I. General information

NPI: 1194682781
Provider Name (Legal Business Name): JASMINE TORRES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1041 N DUPONT HWY # 1136
DOVER DE
19901-2006
US

IV. Provider business mailing address

1041 N DUPONT HWY # 1136
DOVER DE
19901-2006
US

V. Phone/Fax

Practice location:
  • Phone: 302-401-1398
  • Fax:
Mailing address:
  • Phone: 302-401-1398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberACOO8522
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberL8-0011013
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: