MEDICARE: JASMINE ALLEN CRNP-FNP

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
1	363LF0000X	Family Nurse Practitioner	R202310	MD

General Provider Information

NPI Number	:	1700624939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASMINE ALLEN CRNP-FNP

Provider Business Mailing Address
First Line	:	15 CARAWAY RD
Second Line	:
City	:	REISTERSTOWN
State	:	MD
Zip	:	21136-2506
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 CARAWAY RD
Second Line	:
City	:	REISTERSTOWN
State	:	MD
Zip	:	21136-2506
Country	:	US
Telephone Number	:	410-361-0904
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2024
Last Update Date	:	12/01/2025

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