Provider Demographics
NPI:1447889191
Name:MURCHISON, JASMINE ALESSIA (MD)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:ALESSIA
Last Name:MURCHISON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9215 SUNNYOAK DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33569-5672
Mailing Address - Country:US
Mailing Address - Phone:813-418-1652
Mailing Address - Fax:
Practice Address - Street 1:4480 51ST ST W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34210-2855
Practice Address - Country:US
Practice Address - Phone:941-251-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-05
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1630062084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry