Healthcare Provider Details

I. General information

NPI: 1992612022
Provider Name (Legal Business Name): JASMINE SAUNDERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4065 CANE RIDGE PKWY APT 109
CANE RIDGE TN
37013-4736
US

IV. Provider business mailing address

4065 CANE RIDGE PKWY APT 109
CANE RIDGE TN
37013-4736
US

V. Phone/Fax

Practice location:
  • Phone: 301-412-5440
  • Fax:
Mailing address:
  • Phone: 301-412-5440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number34077
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: