JASMINE ALECIA HENDERSON (NPI# 1982214334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982214334 |
| Entity Type | Individual |
| Full Name | JASMINE ALECIA HENDERSON |
| Credential | NP-C |
| Practice Address |
52 Roseberry Cir Port Wentworth GA 31407-5612 |
| Practice Telephone | 9125019005 |
| Mailing Telephone | 9125019005 |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2020-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN230138 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | NURSING LICENSE NUMBER | RN230138 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285231027 | Jasmine Henderson | Behavior Technician | 848 Executive Dr, Oviedo, FL 32765-7699 | 2020-10-05 |
| 1255717211 | Jasmine Palmiano Henderson | Physician Assistant | 5717 Pacific Center Blvd Ste 200, San Diego, CA 92121-4250 | 2015-07-31 |
| Street Address |
52 ROSEBERRY CIR |
| City | PORT WENTWORTH |
| State | GA |
| Zip Code | 31407-5612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295969228 | Kurt Singh Kang | Internal Medicine | 101 W Mulberry Blvd Ste 100, Savannah, GA 31407 | 2009-05-05 |
| 1144829102 | Estefania Salinas | Counselor | 1565 Benton Blvd Apt 412, Savannah, GA 31407-0408 | 2020-10-21 |
| 1861038044 | Mara Dawne Carson | Nurse Practitioner | 1515 Benton Blvd Apt 1328, Savannah, GA 31407-0440 | 2019-11-21 |
| 1831620087 | Pharmdixon Consulting LLC | Pharmacy | 2155 Benton Blvd, 13203, Savannah, GA 31407-0491 | 2017-03-21 |
| 1033610415 | Derrick Jackson Thomas | Specialist/Technologist | 1 Bonnybridge Rd, Savannah, GA 31407-1312 | 2018-02-22 |
| 1043209240 | Westview Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 1000 Dorset Rd, Port Wentworth, GA 31407-1517 | 2005-10-19 |
| 1922575679 | Pruitthealth - Seaside, LLC | Skilled Nursing Facility | 1000 Dorset Rd, Port Wentworth, GA 31407-1517 | 2018-10-31 |
| 1477060705 | Benjamin Lane Richey | Behavior Technician | 204 Turnberry St, Port Wentworth, GA 31407-1925 | 2018-01-09 |
| 1538772363 | Marian Marshall | Social Worker | 117 Whitehavven Rd, Savannah, GA 31407-3140 | 2020-08-31 |
| 1699120410 | Dr Kenneith Durden Outreach | Counselor | 41 Moonlight Trl, Port Wentworth, GA 31407-3321 | 2016-04-29 |
| Find all providers in zip 31407 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679980668 | Heather N Bumgardner | Nurse Practitioner | 7306 Ga Highway 21, Suite 106, Port Wentworth, GA 31407-9274 | 2014-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154110 | Christina Danielle Palau Vaccari | Nurse Practitioner | 712 Pasley Ave Se, Atlanta, GA 30316-2158 | 2020-11-07 |
| 1427657113 | Cynthia Diane Prather | Nurse Practitioner | 3264 Lower Boston Rd, Thomasville, GA 31757-1311 | 2020-10-22 |
| 1932706728 | Alecia Ann Czarnecki | Nurse Practitioner | 6240 Crooked Creek Dr, Rex, GA 30273-5006 | 2020-10-05 |
| 1801401112 | Cotenna D. Clark | Nurse Practitioner | 1857 Cameo Ct, Tucker, GA 30084-7002 | 2020-09-14 |
| 1487264370 | Helen Young Yates | Nurse Practitioner | 40 Red Rock Ct Ne, Ludowici, GA 31316-6280 | 2020-08-05 |
| 1275142994 | Theresia Richardson | Nurse Practitioner | 2033 Buford Hwy Ste 109, Buford, GA 30518-8802 | 2020-07-28 |
| 1063021277 | Elsa Duncan Duncan | Nurse Practitioner | 1822 E Gwinnett St, Savannah, GA 31404-1853 | 2020-07-24 |
| 1154941946 | Joy P Wharton | Nurse Practitioner | 182 Silver Arrow Cir, Austell, GA 30168-7490 | 2020-04-21 |
| 1235769985 | Michelle Brack | Nurse Practitioner | 502 Hall Rd, Thomasville, GA 31757-8105 | 2020-01-22 |
| 1619513710 | Stefka Mentor | Nurse Practitioner | 2726 Raven Wood Dr, Snellville, GA 30078-3750 | 2019-11-23 |
| Find all providers with the same taxonomy | ||||
| City | PORT WENTWORTH |
| Zip Code | 31407 |
Please comment or provide details below to improve the information on JASMINE ALECIA HENDERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.