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NPI Code Detail

MEDICARE: JASMINE NICHOLS

MEDICARE: JASMINE NICHOLS
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
1390200000XStudent in an Organized Health Care Education/Training ProgramY204277025MO

General Provider Information

NPI Number : 1265389001
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE NICHOLS
Provider Business Mailing Address
First Line : 1005 DR DB TODD JR BLVD
Second Line :
City : NASHVILLE
State : TN
Zip : 37208-3501
Country : US
Telephone Number : 314-479-4222
Fax Number :
Provider Business Practice Location Address
First Line : 1005 DR DB TODD JR BLVD
Second Line :
City : NASHVILLE
State : TN
Zip : 37208-3501
Country : US
Telephone Number : 314-479-4222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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Directions to “ JASMINE NICHOLS ” Practice Location

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