Individual
DR. JASMINE CORDIEH TETLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(019) 845-8826
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5882
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34745
MS
207P00000X
Emergency Medicine Physician
W4213
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/20/2020
Last updated
05/06/2026
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