Individual
JASMINE FARRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
504 S BONNER AVE, TYLER, TX 75702-8038
(972) 802-2253
Mailing address
504 S BONNER AVE, TYLER, TX 75702-8038
(972) 802-2253
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
824300
TX
367A00000X
Advanced Practice Midwife
Primary
1059087
TX
Other
Enumeration date
04/22/2021
Last updated
11/29/2021
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