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NPI Code Detail

MEDICARE: JASMINE VUGRINAC FNP

MEDICARE: JASMINE VUGRINAC 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
1363LF0000XFamily Nurse PractitionerAPRN.CNP.022242OH
2363LF0000XFamily Nurse PractitionerF06170905SC
3363L00000XNurse Practitioner21081SC

General Provider Information

NPI Number : 1780199984
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE VUGRINAC FNP
Provider Business Mailing Address
First Line : PO BOX 749306
Second Line :
City : ATLANTA
State : GA
Zip : 30374-9306
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 743 FOLLY RD
Second Line :
City : CHARLESTON
State : SC
Zip : 29412-3432
Country : US
Telephone Number : 843-762-2360
Fax Number : 843-762-2340
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2017
Last Update Date : 11/11/2024

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