Provider Demographics
NPI:1508745027
Name:FLANAGAN, JASMINH BREANNA (ARNP)
Entity type:Individual
Prefix:
First Name:JASMINH
Middle Name:BREANNA
Last Name:FLANAGAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1039 MYSTIC HARBOR DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32225-8638
Mailing Address - Country:US
Mailing Address - Phone:407-274-2271
Mailing Address - Fax:
Practice Address - Street 1:8021 PHILIPS HWY STE 1
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-7460
Practice Address - Country:US
Practice Address - Phone:904-323-0954
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11029233363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health