Jasmine C Porter, NP
Nurse Practitioner in Evansville, IN. Individual provider (NPI-1).
NPI number1043980717
StatusActive
Last updated in NPPESAug 9, 2022
Details
- NPI
- 1043980717
- Entity type
- Individual (NPI-1)
- Name
- Jasmine C Porter
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 15, 2021
- Certification date
- Aug 9, 2022
- Last updated
- Aug 9, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71011633A | IN | Yes |
Other names
- Jasmine C Harrell (Former Name)
Practice location
3700 Washington Ave Ste 1100Evansville, IN 47714-0541
Phone 812-485-1894
Mailing address
3700 Washington Ave Ste 1100Evansville, IN 47714-0541
Other practice locations
4506 1st Ave
Evansville, IN 47710-3624
Evansville, IN 47710-3624
Phone 812-482-6161 · Fax 812-421-2883
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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