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NPI Code Detail

MEDICARE: JASMINE ALEXIS ELLISON

MEDICARE:   JASMINE ALEXIS ELLISON
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 NurseRN9641664FL

General Provider Information

NPI Number : 1578420774
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE ALEXIS ELLISON
Provider Business Mailing Address
First Line : 9203 HILLCROFT DR
Second Line :
City : RIVERVIEW
State : FL
Zip : 33578-4743
Country : US
Telephone Number : 813-541-6743
Fax Number :
Provider Business Practice Location Address
First Line : 1 TAMPA GENERAL CIR
Second Line :
City : TAMPA
State : FL
Zip : 33606-3571
Country : US
Telephone Number : 813-844-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2026
Last Update Date : 01/08/2026

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Directions to “ JASMINE ALEXIS ELLISON ” Practice Location

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