Individual
DR. JASMINE KINATA MINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, ACNPC- AG
Contact information
Practice address
9141 MALLARD PARK BLVD, WALLS, MS 38680-8003
(901) 907-7676
Mailing address
9141 MALLARD PARK BLVD, WALLS, MS 38680-8003
(901) 907-7676
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
29597
TN
363LA2100X
Acute Care Nurse Practitioner
904928
MS
Other
Enumeration date
09/07/2021
Last updated
02/16/2022
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