Healthcare Provider Details

I. General information

NPI: 1427847649
Provider Name (Legal Business Name): JASMIN FRAZIER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2025
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3209 W SMITH VALLEY RD STE 235
GREENWOOD IN
46142-8496
US

IV. Provider business mailing address

3209 W SMITH VALLEY RD STE 235
GREENWOOD IN
46142-8496
US

V. Phone/Fax

Practice location:
  • Phone: 317-717-5973
  • Fax: 317-536-3899
Mailing address:
  • Phone: 463-325-3544
  • Fax: 317-536-3899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number017740
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: