Healthcare Provider Details

I. General information

NPI: 1780540047
Provider Name (Legal Business Name): JASMINE AASHA JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2025
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 S 10TH ST
PALATKA FL
32177-6026
US

IV. Provider business mailing address

1110 S 10TH ST
PALATKA FL
32177-6026
US

V. Phone/Fax

Practice location:
  • Phone: 386-937-3174
  • Fax:
Mailing address:
  • Phone: 386-937-3174
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number237250
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number237250
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: