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Jasmin Tiara Anderson

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as JASMIN ANDERSON.

Based on the most recent information from CMS, provider Jasmin Tiara Anderson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1033781943
Provider Type
Individual
Full Name
Anderson, Jasmin Tiara
Title
Dr.
Credential
DNP, BSN

Gender
Female
Sole Proprietor
No
Enumeration Date
7/12/2021
Last Updated
9/9/2024

Contact Information

Practice Location

926 Main St, Nashville, TN 37206-3614

(615) 436-9060

(615) 235-9725

Mailing Location

3312 W Charleston Blvd, Las Vegas, NV 89102-1829

(702) 291-7121

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 71013369A Indiana
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 843032 Nevada

Jasmin Tiara Anderson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Cory, Liz Catherine S.

Whitt, Tess

Lowe, Hannah

Allan, Promise C

Young, Mary Beth

Moore, Seresa

Weaver, Samantha

Bailey, Shelby Jo

Glass, Tiffany M

Drouin, Emily Kristine