Healthcare Provider Details

I. General information

NPI: 1326637026
Provider Name (Legal Business Name): JASMINE S GHEE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2021
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 E. PALACE AVE SUITE 101
SANTA FE NM
87501
US

IV. Provider business mailing address

2021 GUADALUPE ST STE 260
AUSTIN TX
78705-5654
US

V. Phone/Fax

Practice location:
  • Phone: 657-500-0634
  • Fax:
Mailing address:
  • Phone: 857-360-1387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1027239
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF345955
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: