MEDICARE: JASMINE DIANE WOODS LPN

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	164W00000X	Licensed Practical Nurse	27080500A	IN

General Provider Information

NPI Number	:	1700739893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASMINE DIANE WOODS LPN

Provider Business Mailing Address
First Line	:	8137 BIRCHFIELD DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-2895
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3737 N MERIDIAN ST STE 506
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46208-4308
Country	:	US
Telephone Number	:	317-909-3029
Fax Number	:

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

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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Directions to “ JASMINE DIANE WOODS LPN” Practice Location

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