Provider Demographics
NPI:1932933637
Name:O'NEAL, JASMINE (DNAP, CRNA)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:
Last Name:O'NEAL
Suffix:
Gender:F
Credentials:DNAP, CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1907 S JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72204-2884
Mailing Address - Country:US
Mailing Address - Phone:501-541-9510
Mailing Address - Fax:
Practice Address - Street 1:2110 N PEAK ST APT 3110
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-3691
Practice Address - Country:US
Practice Address - Phone:501-541-9510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-27
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR107483207L00000X
TX1179442367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology