Jasmine Tashawn Williams
Phlebology in Jacksonville, FL. Individual provider (NPI-1).
NPI number1164043758
StatusActive
Last updated in NPPESNov 27, 2023
Details
- NPI
- 1164043758
- Entity type
- Individual (NPI-1)
- Name
- Jasmine Tashawn Williams
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 5, 2020
- Certification date
- May 5, 2020
- Last updated
- Nov 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 202K00000X | Phlebology | 43426 | FL | Yes |
Practice location
1441 Manotak Ave Apt 1613Jacksonville, FL 32210-1071
Phone 904-418-4731
Mailing address
1441 Manotak Ave Apt 1613Jacksonville, FL 32210-1071
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