Provider Demographics
NPI:1164904934
Name:WEBB, JASMINE CLARICE
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:CLARICE
Last Name:WEBB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10901 RANCHSTONE DR APT 111
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-8883
Mailing Address - Country:US
Mailing Address - Phone:214-405-0235
Mailing Address - Fax:
Practice Address - Street 1:10901 RANCHSTONE DR APT 111
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77064-8883
Practice Address - Country:US
Practice Address - Phone:214-405-0235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-29
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX929567163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics