Individual
JASMINE C PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3700 WASHINGTON AVE STE 1100, EVANSVILLE, IN 47714-0541
(812) 485-1894
Mailing address
3700 WASHINGTON AVE STE 1100, EVANSVILLE, IN 47714-0541
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71011633A
IN
Other
Enumeration date
09/15/2021
Last updated
08/09/2022
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