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NPI 1194385112

NPI 1194385112 : JASMA GRIFFIN WHNP-BC : MANSFIELD, TX

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General NPI Number Information
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    NPI Number           |    1194385112
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    Entity Type          |    Individual 
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    Provider Name        |    JASMA GRIFFIN WHNP-BC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/20/2019
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    Last Update Date     |    01/30/2025
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Provider Practice Location Address
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    Address Line         |    1200 HIGHWAY 287 N STE 103 
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    City                 |    MANSFIELD
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    State                |    TX
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    Zip                  |    76063-2874
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    Country              |    US
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    Telephone            |    817-473-2988
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    209 ARMSTRONG DR 
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    City                 |    CEDAR HILL
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    State                |    TX
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    Zip                  |    75104-2348
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    Country              |    US
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    Telephone            |    601-214-0245
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LW0102X
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    Taxonomy Name        |    Women's Health Nurse Practitioner
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    License Number       |    AP141942
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    363LX0001X
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    Taxonomy Name        |    Obstetrics & Gynecology Nurse Practitioner
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    License Number       |    AP141942
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    AP141942
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    License Number State |    TX
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