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NPI Code Detail

MEDICARE: JASMIN DYKES RN

MEDICARE:   JASMIN  DYKES  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN284321GA
2363LF0000XFamily Nurse PractitionerAPRN-NP284321GA

General Provider Information

NPI Number : 1114866407
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMIN DYKES RN
Provider Business Mailing Address
First Line : 3205 CUMBERLAND BLVD SE UNIT 660
Second Line :
City : ATLANTA
State : GA
Zip : 30339-4434
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3205 CUMBERLAND BLVD SE UNIT 660
Second Line :
City : ATLANTA
State : GA
Zip : 30339-4434
Country : US
Telephone Number : 504-373-3905
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2026
Last Update Date : 05/11/2026

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Directions to “ JASMIN DYKES RN” Practice Location

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