Provider Demographics
NPI:1477182434
Name:ESMAY, JASMINE LEIGH (BSN, RNC-OB, IBCLC)
Entity type:Individual
Prefix:MRS
First Name:JASMINE
Middle Name:LEIGH
Last Name:ESMAY
Suffix:
Gender:F
Credentials:BSN, RNC-OB, IBCLC
Other - Prefix:MS
Other - First Name:JASMINE
Other - Middle Name:LEIGH
Other - Last Name:BAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4804 HALIBUT POINT RD
Mailing Address - Street 2:
Mailing Address - City:SITKA
Mailing Address - State:AK
Mailing Address - Zip Code:99835-9566
Mailing Address - Country:US
Mailing Address - Phone:907-623-7597
Mailing Address - Fax:
Practice Address - Street 1:222 TONGASS DR
Practice Address - Street 2:
Practice Address - City:SITKA
Practice Address - State:AK
Practice Address - Zip Code:99835-9416
Practice Address - Country:US
Practice Address - Phone:907-966-8331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-02
Last Update Date:2021-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKNURR25762163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant