Individual
JASMINE NICOLE BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
507 BISHOP ST NW APT 2413, ATLANTA, GA 30318-4482
(678) 358-8426
Mailing address
507 BISHOP ST NW APT 2413, ATLANTA, GA 30318-4482
(678) 358-8426
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
249088
GA
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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