Individual provider Active NPI

Jasmine Dashawn Brown

  • Licensed Practical Nurse
  • Jacksonville, FL
National Provider Identifier
1891566139
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN5256025 Issued in FL
Practice address
6625 Argyle Forest Blvd Ste 4
Jacksonville, FL 32244-6126
Phone
(803) 849-9803
NPI assigned
Jan 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN5256025 FL Primary

Addresses

Primary practice location

6625 Argyle Forest Blvd Ste 4
Jacksonville, FL 32244-6126

Mailing address

PO Box 65001
Orange Park, FL 32065-0001
Phone (803) 613-9141

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PN5256025FLMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Jay Comfort Home Care, LLC CurrentSince Nov 7, 2025 Accepting new patients
KK&J Medical Diagnostics LLC Licensed Practical Nurse CurrentSince Jan 1, 2024 Accepting new patients

Locations

6625 Argyle Forest Blvd
Ste 4
Jacksonville, FL 32244
Phone (904) 441-0775

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1891566139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65001",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320650001",
            "telephone_number": "803-613-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 ARGYLE FOREST BLVD STE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446126",
            "telephone_number": "803-849-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JASMINE",
        "middle_name": "DASHAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5256025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.