Individual
JASMINE MARIAH JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
105 WEST RD, ELLINGTON, CT 06029-5700
(860) 454-0678
Mailing address
16 KIEFT RD, MIDDLETOWN, CT 06457-4034
(860) 853-8173
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
181626
CT
363L00000X
Nurse Practitioner
Primary
14635
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
598475020
PASSPORT
—
Enumeration date
11/14/2022
Last updated
09/05/2025
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