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Individual
JASMINE ASHLEY FOWLER
Active
Individual
JASMINE ASHLEY FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.021989
IL
363LF0000X
Family Nurse Practitioner
209.021989
IL
363LP2300X
Primary Care Nurse Practitioner
Primary
209.021989
IL
Other
Enumeration date
09/15/2020
Last updated
03/23/2021
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