Provider Demographics
NPI:1861219982
Name:PANIT, JASMINE G
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:G
Last Name:PANIT
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 1:2122 GALVESTON AVE UNIT C
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95122-3605
Mailing Address - Country:US
Mailing Address - Phone:408-691-7224
Mailing Address - Fax:
Practice Address - Street 1:2122 GALVESTON AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95122-3605
Practice Address - Country:US
Practice Address - Phone:408-691-7224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA693110164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse