Provider Demographics
NPI:1265249940
Name:BAROCIO, JASMIN MONICA
Entity type:Individual
Prefix:
First Name:JASMIN
Middle Name:MONICA
Last Name:BAROCIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:432 W CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-2044
Mailing Address - Country:US
Mailing Address - Phone:256-335-2791
Mailing Address - Fax:
Practice Address - Street 1:432 W CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-2044
Practice Address - Country:US
Practice Address - Phone:256-335-2791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALF09240716363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care