Individual
JASMINE AZGHANI VARDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 593-8441
Mailing address
11902 WHITE DEER TRL, TYLER, TX 75703-8144
(903) 253-4481
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP142404
TX
Other
Enumeration date
01/13/2020
Last updated
07/18/2024
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