Provider Demographics
NPI:1285431593
Name:FREEMAN, JASMINE (MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:
Last Name:FREEMAN
Suffix:
Gender:
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 SHASTA MEADOWS ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-5342
Mailing Address - Country:US
Mailing Address - Phone:702-588-2122
Mailing Address - Fax:
Practice Address - Street 1:216 SHASTA MEADOWS ST
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-5342
Practice Address - Country:US
Practice Address - Phone:702-588-2122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-26
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV841234207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology