Individual
MS. JASMINE DESIREE SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, AGNP-C
Contact information
Practice address
6706 SAN MIGUEL WAY, CONVERSE, TX 78109-3774
(210) 445-9636
Mailing address
6706 SAN MIGUEL WAY, CONVERSE, TX 78109-3774
(210) 445-9636
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
1113466
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
1113466
TX
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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