Individual
JASMINE NOEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1982 SE CRYSTAL MIST ST, PORT SAINT LUCIE, FL 34983-4608
(772) 333-7285
Mailing address
1982 SE CRYSTAL MIST ST, PORT SAINT LUCIE, FL 34983-4608
(772) 209-8516
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
RN484623
OH
261QD1600X
Developmental Disabilities Clinic/Center
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
12/01/2020
Last updated
02/01/2021
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