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NPI Code Detail

MEDICARE: JASMINE NOELINE SHAFTO APRN CNS

MEDICARE: JASMINE NOELINE SHAFTO APRN CNS
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN.CNP.020023OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2184607OTHERKYMEDICARE GROUP NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336177856
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE NOELINE SHAFTO APRN CNS
Provider Business Mailing Address
First Line : 2135 DANA AVE STE 220
Second Line :
City : CINCINNATI
State : OH
Zip : 45207-1342
Country : US
Telephone Number : 216-468-5000
Fax Number : 216-456-8128
Provider Business Practice Location Address
First Line : 2135 DANA AVE STE 220
Second Line :
City : CINCINNATI
State : OH
Zip : 45207-1342
Country : US
Telephone Number : 216-468-5000
Fax Number : 216-456-8128
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2006
Last Update Date : 09/24/2025

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