Provider Demographics
NPI:1427847649
Name:FRAZIER, JASMIN (RN)
Entity type:Individual
Prefix:
First Name:JASMIN
Middle Name:
Last Name:FRAZIER
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3209 W SMITH VALLEY RD STE 235
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-8496
Mailing Address - Country:US
Mailing Address - Phone:317-717-5973
Mailing Address - Fax:317-536-3899
Practice Address - Street 1:3209 W SMITH VALLEY RD STE 235
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-8496
Practice Address - Country:US
Practice Address - Phone:317-717-5973
Practice Address - Fax:317-536-3899
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN24-017740-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health