Provider Demographics
NPI:1396224820
Name:PLUMMER, YASMIN (LPN)
Entity Type:Individual
Prefix:MRS
First Name:YASMIN
Middle Name:
Last Name:PLUMMER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3269 WICKLOW LN
Mailing Address - Street 2:
Mailing Address - City:CLOVER
Mailing Address - State:SC
Mailing Address - Zip Code:29710-6080
Mailing Address - Country:US
Mailing Address - Phone:973-390-2713
Mailing Address - Fax:
Practice Address - Street 1:3269 WICKLOW LN
Practice Address - Street 2:
Practice Address - City:CLOVER
Practice Address - State:SC
Practice Address - Zip Code:29710-6080
Practice Address - Country:US
Practice Address - Phone:973-390-2713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-06
Last Update Date:2018-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC45622164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse