Individual
JASMINE BHUSHAN PANDYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
W129N7055 NORTHFIELD DR, MENOMONEE FALLS, WI 53051-0538
(262) 253-5400
Mailing address
W129N7055 NORTHFIELD DR, MENOMONEE FALLS, WI 53051-0538
(262) 253-5400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001296435
VA
363LF0000X
Family Nurse Practitioner
Primary
15786-33
WI
363LF0000X
Family Nurse Practitioner
209026631
IL
Other
Enumeration date
01/14/2022
Last updated
10/28/2024
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