Provider Demographics
NPI:1952810319
Name:MARSHALL, JASMINE RACHEL (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:JASMINE
Middle Name:RACHEL
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7001 JOHNNYCAKE RD STE 204
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-2420
Mailing Address - Country:US
Mailing Address - Phone:443-414-4579
Mailing Address - Fax:
Practice Address - Street 1:7001 JOHNNYCAKE RD STE 204
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-2420
Practice Address - Country:US
Practice Address - Phone:443-719-8670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-28
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR202141363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily