Provider Demographics
NPI:1346948239
Name:FORTE-ALSAEED, JASMINE DONNA (CRNP)
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:DONNA
Last Name:FORTE-ALSAEED
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:JASMINE
Other - Middle Name:DONNA
Other - Last Name:FORTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1771 S 65TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19142-1432
Mailing Address - Country:US
Mailing Address - Phone:484-655-8921
Mailing Address - Fax:
Practice Address - Street 1:1771 S 65TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19142-1432
Practice Address - Country:US
Practice Address - Phone:484-655-8921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP027152363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care