Lease, Jasmin Ann
Lease, Jasmin Ann is an individual health care provider with primary practice located at 2010 Active Way , Benton AR 72019-7566. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Lease, Jasmin Ann can be contacted via phone (501) 315-0984.Contact Information
Primary practice address
2010 Active Way
Benton AR 72019-7566
Phone: (501) 315-0984
Fax: (501) 847-1405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA-349 | Arkansas |
Profile Details
| NPI number | 1376792457 |
|---|---|
| LBN Legal business name | Lease, Jasmin Ann |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2008 |
| Last updated | Aug 3rd, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376792457 | NPPES |
| Arkansas | Other | PA349 | LICENSE |
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