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NPI Code Detail

MEDICARE: JASMINE-NICOLE TRAN PMHNP-BC

MEDICARE: JASMINE-NICOLE TRAN PMHNP-BC
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 Practitioner95037475CA
2363LP0808XPsychiatric/Mental Health Nurse Practitioner95188410CA

General Provider Information

NPI Number : 1679449359
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE-NICOLE TRAN PMHNP-BC
Provider Business Mailing Address
First Line : 200 FREEDOM LN
Second Line :
City : ALISO VIEJO
State : CA
Zip : 92656-5876
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 FREEDOM LN
Second Line :
City : ALISO VIEJO
State : CA
Zip : 92656-5876
Country : US
Telephone Number : 626-602-6611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2025
Last Update Date : 12/06/2025

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Directions to “ JASMINE-NICOLE TRAN PMHNP-BC” Practice Location

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