Individual
TINA JASO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13450 N MERIDIAN ST STE 145, CARMEL, IN 46032-1484
(317) 338-8788
Mailing address
13450 N MERIDIAN ST STE 145, CARMEL, IN 46032-1484
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71011800A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/13/2021
Last updated
07/01/2022
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