Individual
JASMINE KENNERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 426-5431
Mailing address
810 VERMONT AVE NW, WASHINGTON, DC 20420-0001
(404) 218-1327
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN209276
GA
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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