Provider Demographics
NPI:1912778945
Name:JASMON, SEAN MICHAEL (PA)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:MICHAEL
Last Name:JASMON
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:309 BOXMERE PL
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-6127
Mailing Address - Country:US
Mailing Address - Phone:904-806-9920
Mailing Address - Fax:
Practice Address - Street 1:115 DEACON TILLER CT
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:SC
Practice Address - Zip Code:29334-8880
Practice Address - Country:US
Practice Address - Phone:864-721-0025
Practice Address - Fax:864-249-8127
Is Sole Proprietor?:No
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical