Healthcare Provider Details

I. General information

NPI: 1750953659
Provider Name (Legal Business Name): JASMYN CUMMINGS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JASMYN JEWELL

II. Dates (important events)

Enumeration Date: 07/12/2021
Last Update Date: 04/26/2024
Certification Date: 04/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 GOODMAN ST
CINCINNATI OH
45219-2364
US

IV. Provider business mailing address

7177 MARYLAND AVE
CINCINNATI OH
45236-3411
US

V. Phone/Fax

Practice location:
  • Phone: 513-584-1000
  • Fax:
Mailing address:
  • Phone: 502-930-8515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number4015288
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: