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NPI Code Detail

MEDICARE: JASMINE LOVING DAWSON FNP-C

MEDICARE: JASMINE LOVING DAWSON FNP-C
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
1363LF0000XFamily Nurse PractitionerRN233008GA

General Provider Information

NPI Number : 1770294407
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE LOVING DAWSON FNP-C
Provider Business Mailing Address
First Line : 4966 BENTWOOD CT
Second Line :
City : VALDOSTA
State : GA
Zip : 31601-9020
Country : US
Telephone Number : 229-563-2696
Fax Number :
Provider Business Practice Location Address
First Line : 520 GRIFFIN AVE
Second Line :
City : VALDOSTA
State : GA
Zip : 31601-6331
Country : US
Telephone Number : 229-433-7350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2022
Last Update Date : 10/20/2025

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