Provider Demographics
NPI:1306383807
Name:OCHURU, JASMINE IJAGHA (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:JASMINE
Middle Name:IJAGHA
Last Name:OCHURU
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3945 LUKE LN
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-1326
Mailing Address - Country:US
Mailing Address - Phone:972-939-4616
Mailing Address - Fax:
Practice Address - Street 1:3945 LUKE LN
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-1326
Practice Address - Country:US
Practice Address - Phone:972-939-4616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-23
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP132454363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily