Jasmine Augustin

Individual provider Active NPI Registered Nurse · Garnerville, NY

NPI 1124554134 · NPPES record last updated May 11, 2017

Key facts

NPI
1124554134
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
639305-1 (NY)
Practice address
37 Forest Dr Apt a
Garnerville, NY 10923-2159
Phone
(845) 200-6496
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
639305-1NYMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 639305-1 NY Yes

Addresses

Primary practice location

37 Forest Dr Apt a
Garnerville, NY 10923-2159

Mailing address

37 Forest Dr Apt a
Garnerville, NY 10923-2159
Phone (845) 200-6496

Other providers in Garnerville, NY

All providers in Garnerville, NY · Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.