Healthcare Provider Details

I. General information

NPI: 1003618562
Provider Name (Legal Business Name): JAZMINE DAWDY MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6135 SW 17TH ST
TOPEKA KS
66615-1123
US

IV. Provider business mailing address

5020 SE 7TH ST
TECUMSEH KS
66542-9422
US

V. Phone/Fax

Practice location:
  • Phone: 785-861-9998
  • Fax:
Mailing address:
  • Phone: 785-861-9998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number226048
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-85064-121
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: