Individual
JASMINE IVIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 LAKE HEARN DR NE APT 4524, BROOKHAVEN, GA 30319-1867
(615) 509-2394
Mailing address
1400 LAKE HEARN DR NE APT 4524, BROOKHAVEN, GA 30319-1867
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
247532
TN
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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