Individual
JASMINE SHANAE HYPOLITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 LAKE TRAVERSE DR, SISSETON, SD 57262
(605) 698-7606
(605) 742-0182
Mailing address
777 N AIR DEPOT BLVD APT 4102, OKLAHOMA CITY, OK 73110-3765
(405) 204-4144
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
110500
OK
363L00000X
Nurse Practitioner
110500
OK
363LA2200X
Adult Health Nurse Practitioner
CP001525
SD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CP001525
SD
363LP2300X
Primary Care Nurse Practitioner
110500
OK
Other
Enumeration date
01/23/2018
Last updated
11/26/2021
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