Provider Demographics
NPI:1285492975
Name:DAVIS, JASMINE ESTHEL (DNP, APRN, FNP-C)
Entity type:Individual
Prefix:DR
First Name:JASMINE
Middle Name:ESTHEL
Last Name:DAVIS
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:MISS
Other - First Name:JASMINE
Other - Middle Name:ESTHEL
Other - Last Name:ROSARIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2106 BROUGHTON CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-1524
Mailing Address - Country:US
Mailing Address - Phone:302-241-4378
Mailing Address - Fax:
Practice Address - Street 1:1601 MILLTOWN RD STE 2
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-4047
Practice Address - Country:US
Practice Address - Phone:302-543-6165
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0012596363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily