Jazmine Coleman, RN
Individual provider Active NPI Registered Nurse · Alpine, CA
NPI 1174329072 · NPPES record last updated Feb 21, 2025
Key facts
- NPI
- 1174329072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 95367278 (CA)
- Practice address
- 4058 Willows Rd
Alpine, CA 91901-1668 - Phone
- (619) 445-1188
- NPI assigned
- Feb 21, 2025
- 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 |
|---|---|---|---|
| 95367278 | CA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95367278 | CA | Yes |
Addresses
Primary practice location
4058 Willows Rd
Alpine, CA 91901-1668
Mailing address
PO Box 881151
San Diego, CA 92168-1151
Other providers in Alpine, CA
- Centro de Salud de la Comunidad de San Ysidro,Inc
- Arthi Chawla
- Jenny Chen
- Chase Cheney
- Amy Rose Cochran
- Anjolie F Colon
- Alexis Cooke
- Darrel Olin Crain
- Daniel Cuellar
- Yessica Cuenca-Garcia
All providers in Alpine, CA · Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2025. 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.