Provider Demographics
NPI:1699447631
Name:ASHIMOLE, YASMINE PAULE (RN)
Entity type:Individual
Prefix:
First Name:YASMINE
Middle Name:PAULE
Last Name:ASHIMOLE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3017 GRAND BLVD
Mailing Address - Street 2:
Mailing Address - City:BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-4719
Mailing Address - Country:US
Mailing Address - Phone:917-340-5885
Mailing Address - Fax:516-442-4983
Practice Address - Street 1:3017 GRAND BLVD # PVT
Practice Address - Street 2:
Practice Address - City:BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-4719
Practice Address - Country:US
Practice Address - Phone:917-340-5885
Practice Address - Fax:516-442-4983
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-29
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY748925-01163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health