Provider Demographics
NPI:1134518673
Name:AGNETTI, JASMINE (APRN)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:
Last Name:AGNETTI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:JASMINE
Other - Middle Name:
Other - Last Name:JONES-GREEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:1205 N UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-6620
Mailing Address - Country:US
Mailing Address - Phone:954-780-8135
Mailing Address - Fax:954-227-2710
Practice Address - Street 1:1205 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-6620
Practice Address - Country:US
Practice Address - Phone:954-780-8135
Practice Address - Fax:954-227-2710
Is Sole Proprietor?:No
Enumeration Date:2015-01-22
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9458342363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily