Christopher, Jasmine Christine

Christopher, Jasmine Christine is an individual health care provider with primary practice located at 611 E Douglas Rd Ste 408 , Mishawaka IN 46545-1468. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse First Assistant, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Christopher, Jasmine Christine can be contacted via phone (574) 355-6440.

Contact Information

Primary practice address
611 E Douglas Rd Ste 408 Mishawaka IN 46545-1468
Phone: (574) 355-6440
Fax: (574) 335-0806
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X 28210350A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 71011946A Indiana

Profile Details

NPI number 1013421049
LBN Legal business name Christopher, Jasmine Christine
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2017
Last updated Mar 30th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013421049 NPPES
Indiana MEDICAID 300057322

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