Individual ProviderJasmine NguyenPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address4350 Us 421 S, Lillington, NC 27546-6760(910) 893-1210(408) 914-1000PECOS EnrollmentBased on the most recent information from CMS, provider Jasmine Nguyen is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1194560813Provider TypeIndividualFull NameNguyen, JasmineGenderFemaleSole ProprietorNoEnumeration Date6/25/2024Last Updated10/23/2024Contact InformationPractice LocationPractice Address4350 Us 421 S, Lillington, NC 27546-6760Phone(910) 893-1210FaxUnlisted FaxMailing LocationMailing Address36 Nevada Ave, Asheville, NC 28806-3317Phone(408) 914-1000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense0010-14491North CarolinaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer