Provider Demographics
NPI:1568247120
Name:HARDING, JASMINE DANIELLE (PA-C)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:DANIELLE
Last Name:HARDING
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:402 S CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:RAVENNA
Mailing Address - State:OH
Mailing Address - Zip Code:44266-3006
Mailing Address - Country:US
Mailing Address - Phone:330-858-4531
Mailing Address - Fax:
Practice Address - Street 1:402 S CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:RAVENNA
Practice Address - State:OH
Practice Address - Zip Code:44266-3006
Practice Address - Country:US
Practice Address - Phone:330-298-5666
Practice Address - Fax:330-298-5655
Is Sole Proprietor?:No
Enumeration Date:2023-08-30
Last Update Date:2025-02-11
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant