Provider Demographics
NPI:1083125991
Name:HAMMAR, JASMINE NICOLE (LPN)
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:NICOLE
Last Name:HAMMAR
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:JASMINE
Other - Middle Name:NICOLE
Other - Last Name:LLOYD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:402 21ST ST SE APT 14
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-6877
Mailing Address - Country:US
Mailing Address - Phone:661-341-7750
Mailing Address - Fax:
Practice Address - Street 1:402 21ST ST SE APT 14
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-6877
Practice Address - Country:US
Practice Address - Phone:661-341-7750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-18
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALP60735583164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse