Provider Demographics
NPI:1578909693
Name:JASSAN, SAVI JESSICA (CERTIFICATES)
Entity Type:Individual
Prefix:
First Name:SAVI
Middle Name:JESSICA
Last Name:JASSAN
Suffix:
Gender:F
Credentials:CERTIFICATES
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:JASSAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1901 CLEVELAND ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-3133
Mailing Address - Country:US
Mailing Address - Phone:954-274-4289
Mailing Address - Fax:954-922-2710
Practice Address - Street 1:1901 CLEVELAND ST UNIT B
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-3133
Practice Address - Country:US
Practice Address - Phone:954-274-4289
Practice Address - Fax:954-922-2710
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-15
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCERTIFICATE163WH0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0500XNursing Service ProvidersRegistered NurseHemodialysis