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Individual

ELLEN LEE JASMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, LM, CNM

Contact information

Practice address
16575 DRAPER MINE RD STE A, SONORA, CA 95370-8430
(209) 481-8989
(209) 533-4600
Mailing address
16575 DRAPER MINE RD, SONORA, CA 95370-8430
(209) 533-2300
(209) 533-4600

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
LM13
CA
367A00000X
Advanced Practice Midwife
Primary
NMW1433
CA
374J00000X
Doula
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
H205
CITY HEALTH PLAN
CA
01
NMW014330
CA MEDI-CAL PROVIDER #
CA
Enumeration date
11/17/2006
Last updated
06/18/2026
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