Individual
JASMINE WALKER MCQUEEN
Active
Individual
JASMINE WALKER MCQUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
1-136708
AL
363LG0600X
Gerontology Nurse Practitioner
1-136708
AL
363LW0102X
Women's Health Nurse Practitioner
Primary
1-136708
AL
Other
Enumeration date
02/29/2016
Last updated
11/07/2018
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