JASMINE ARLEAN BLANKS (NPI# 1114571957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114571957 |
| Entity Type | Individual |
| Full Name | JASMINE ARLEAN BLANKS |
| Credential | NP-C |
| Practice Address |
501 Avalon Way Ste C Brandon MS 39047-7500 |
| Practice Telephone | 6019929790 |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2020-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP146058 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
903445 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 S Main St Fl 2, Fort Worth, TX 761044917 | 8177023000 | 8177021666 |
| Street Address |
501 AVALON WAY STE C |
| City | BRANDON |
| State | MS |
| Zip Code | 39047-7500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093280679 | Brittany Chantriece Burage | Nurse Practitioner | 501 Avalon Way Ste C, Brandon, MS 39047-7500 | 2018-10-10 |
| 1689289464 | Heather Phillips Silverii | Nurse Practitioner | 501 Avalon Way Ste C, Brandon, MS 39047-7500 | 2020-09-09 |
| 1508429978 | Roy A West | Nurse Practitioner | 501 Avalon Way Ste C, Brandon, MS 39047-7500 | 2019-04-20 |
| 1902366495 | Mary Lydia Hall | Nurse Practitioner | 501 Avalon Way Ste C, Brandon, MS 39047-7500 | 2019-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396368783 | Siyuan Chen Kennedy | Counselor | 108 Sandstone Drive, Brandon, MS 39047 | 2020-05-20 |
| 1568019784 | Juarez Brown Emerson | Registered Nurse | 426 Pinebrook Circle, Brandon, MS 39047 | 2019-08-22 |
| 1649764127 | Specialty Diagnostics LLC | Family Medicine | 1149 Old Fannin Rd Ste 22, Brandon, MS 39047 | 2018-06-19 |
| 1528423035 | Kathlene Strangeman | Social Worker | 111 Lakeshore Dr Apt G403, Brandon, MS 39047 | 2015-12-28 |
| 1174935076 | Anthony Davis | Counselor | 198 Bellegrove Cir, Brandon, MS 39047 | 2014-05-27 |
| 1144659178 | Medical Foundation of Central Ms, Inc | Family Medicine | 1887 Spillway Rd., Brandon, MS 39047 | 2013-11-12 |
| 1437429941 | Picton Timothy Evans | Pharmacist | 150 B Cumberland Ed, Brandon, MS 39047 | 2012-01-01 |
| 1275828030 | Kathryn Audell Piburn | Nurse Practitioner | 1887 Spillway Rd Ste 140, Brandon, MS 39047 | 2011-06-09 |
| 1801930532 | Susanne Reynolds Moore | Dentist | 1149 Old Fannin Rd, Suite 26, Brandon, MS 39047 | 2007-02-16 |
| 1194898429 | Brookshire Grocery Company | Durable Medical Equipment & Medical Supplies | 143 Plaza Drive Ext, Attention Pharmacy Dept, Brandon, MS 39047 | 2006-11-16 |
| Find all providers in zip 39047 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738584 | Tamara Martin Torres | Nurse Practitioner | 807 S Parsons Ave, Brandon, FL 33511-6063 | 2019-09-04 |
| 1689921264 | Liam Magaly Aponte | Nurse Practitioner | 220 Grand Regency Blvd, Brandon, FL 33510-3935 | 2012-08-13 |
| 1831226414 | Cathy Sue Eaton-hill | Nurse Practitioner | 500 Vonderburg Dr Ste 102e, Brandon, FL 33511 | 2007-02-28 |
| 1891753166 | Martie Marie Jackson | Nurse Practitioner | 876 S Parsons Ave, Brandon, FL 33511-6007 | 2006-05-03 |
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|---|---|---|---|---|
| 1376143024 | Desoto Family Wellness Center, LLC | Nurse Practitioner | 3495 Cobblestone Blvd South, Southaven, MS 38672-3867 | 2020-10-30 |
| 1760096127 | Sarah Freeman Adams | Nurse Practitioner | 710 Ms -371, Mooreville, MS 38857 | 2020-09-03 |
| 1295353290 | Ashley Smith Allen | Nurse Practitioner | Rankin Rural Medical Center, 129 Center Street Suite B, Richland, MS 39218 | 2020-07-07 |
| 1619591542 | Kristy S. Franks | Nurse Practitioner | 2803 Cobb Stump Rd, Fulton, MS 38843-7391 | 2020-06-06 |
| 1013543388 | Mallory Elizabeth Boggs | Nurse Practitioner | 159 Fountains Blvd Ste B, Madison, MS 39110-6344 | 2020-03-19 |
| 1265072821 | Settlemires Family Medical Clinic, LLC | Nurse Practitioner | 3198 Highway 72 W, Corinth, MS 38834-9303 | 2020-01-13 |
| 1588211916 | Pattye Dorris | Nurse Practitioner | 415 Us Highway 49 N, Tutwiler, MS 38963-5091 | 2019-08-21 |
| 1457907248 | Tanya Sanderson | Nurse Practitioner | 4208 Ridgemont Drive, Belden, MS 38826 | 2019-08-16 |
| 1720556319 | Julie Smythe Harper | Nurse Practitioner | 86 Berry Rd, Newhebron, MS 39140-5496 | 2018-11-13 |
| 1063912046 | Laquania Williams | Nurse Practitioner | 470 County Road 471, Vardaman, MS 38878-9770 | 2018-02-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.