Jasmine McMiller, RN
Individual provider Active NPI Registered Nurse · Menands, NY
NPI 1073395877 · NPPES record last updated Oct 17, 2023
Key facts
- NPI
- 1073395877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 847002 (NY)
- Practice address
- 444 Broadway
Menands, NY 12204-2887 - Phone
- (518) 650-2966
- Fax
- (518) 650-2625
- NPI assigned
- Oct 17, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 847002 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 847002 | NY | Yes |
Addresses
Primary practice location
444 Broadway
Menands, NY 12204-2887
Mailing address
444 Broadway
Menands, NY 12204-2887
Phone (518) 650-2966
Other providers in Menands, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.