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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
20 KENT CT, MIDDLETOWN, CT 06457-4524
(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
06/16/2026
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