Individual
JASMINE BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
85 HERRICK ST, BEVERLY, MA 01915-1790
(978) 816-3700
Mailing address
PROVIDER ENROLLMENT 41 MALL ROAD, BURLINGTON, MA 01805-0001
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
RN668214
PA
367500000X
Certified Registered Nurse Anesthetist
95001509
CA
367500000X
Certified Registered Nurse Anesthetist
AP61324758
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2376154
MA
Other
Enumeration date
01/30/2020
Last updated
02/01/2024
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