Provider Demographics
NPI:1740421403
Name:MARTIN, JASMINE ROSEMARIE (DNP, MSN, FNP)
Entity Type:Individual
Prefix:DR
First Name:JASMINE
Middle Name:ROSEMARIE
Last Name:MARTIN
Suffix:
Gender:F
Credentials:DNP, MSN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1921 W SANIBEL CT
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-8133
Mailing Address - Country:US
Mailing Address - Phone:303-973-5768
Mailing Address - Fax:
Practice Address - Street 1:1921 W SANIBEL CT
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-8133
Practice Address - Country:US
Practice Address - Phone:303-973-5768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-10
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO68295363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily