| NPI | 1639850977 |
|---|---|
| Other Name | JASMINE DEIDRE HENRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN191228) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN191228) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN191228) | |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2024-11-04 |