Provider Demographics
NPI:1518356096
Name:POLLARD, JASMINE (RN, MSN, CCM)
Entity type:Individual
Prefix:MS
First Name:JASMINE
Middle Name:
Last Name:POLLARD
Suffix:
Gender:F
Credentials:RN, MSN, CCM
Other - Prefix:MRS
Other - First Name:JASMINE
Other - Middle Name:
Other - Last Name:LITTLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN, MSN, CCM
Mailing Address - Street 1:13268 ORSAY ST
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20871-9497
Mailing Address - Country:US
Mailing Address - Phone:770-827-2507
Mailing Address - Fax:
Practice Address - Street 1:13268 ORSAY ST
Practice Address - Street 2:
Practice Address - City:CLARKSBURG
Practice Address - State:MD
Practice Address - Zip Code:20871-9497
Practice Address - Country:US
Practice Address - Phone:770-827-2507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-21
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN156540163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management