Individual
JASMINE DENISE CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11638 HIGHWAY 27 STE 8, SUMMERVILLE, GA 30747-8515
(706) 907-0932
(706) 657-2958
Mailing address
13570 N MAIN ST, TRENTON, GA 30752-2012
(706) 907-0932
(706) 657-2958
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
32953722
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003151883A
—
GA
05
—
00842388B
—
GA
Enumeration date
04/17/2007
Last updated
01/06/2015
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