Provider Demographics
NPI:1124806989
Name:JAMES, JASMINE ROBIN (AGACNP)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:ROBIN
Last Name:JAMES
Suffix:
Gender:F
Credentials:AGACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4545 BONNYWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-8280
Mailing Address - Country:US
Mailing Address - Phone:972-730-2821
Mailing Address - Fax:
Practice Address - Street 1:4545 BONNYWOOD DR
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-8280
Practice Address - Country:US
Practice Address - Phone:972-730-2821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1111120363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care