| Doctor Name: | JASMINE DENISE CARSON |
| NPI Number: | 1073738506 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 32953722 |
| Business Practice Address: | 11638 Highway 27 Ste 8 Summerville, GA - 307478515 |
| Business Phone Number: | 7069070932 |
| Business Fax Number: | 7066572958 |
| Mailing Address: | 13570 N Main St, TRENTON |
| State: | GA |
| Postal Code: | 307522012 |
| Phone Number: | 7069070932 |
| Fax Number: | 7066572958 |
| NPI Enumeration Date: | 04/17/2007 |
| NPI Last Update Date: | 01/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 32953722 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |