Individual
JASMINE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4041 KNIGHT ARNOLD RD STE 100, MEMPHIS, TN 38118-2128
(901) 572-1573
(901) 360-0865
Mailing address
59 PEAVINE RD, BOYLE, MS 38730-9513
(662) 402-2943
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
903300
MS
Other
Enumeration date
06/23/2020
Last updated
01/20/2021
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