Provider Demographics
NPI:1326637026
Name:GHEE, JASMINE S (FNP)
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:S
Last Name:GHEE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4168 COUNTY ROAD 444
Mailing Address - Street 2:
Mailing Address - City:WAELDER
Mailing Address - State:TX
Mailing Address - Zip Code:78959-5328
Mailing Address - Country:US
Mailing Address - Phone:580-917-5117
Mailing Address - Fax:
Practice Address - Street 1:4168 COUNTY ROAD 444
Practice Address - Street 2:
Practice Address - City:WAELDER
Practice Address - State:TX
Practice Address - Zip Code:78959-5328
Practice Address - Country:US
Practice Address - Phone:580-917-5117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-16
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF345955363L00000X
TX1027239363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner