Provider Demographics
NPI:1700428968
Name:GUERRERO, JASMINE (ARNP-BC)
Entity type:Individual
Prefix:MRS
First Name:JASMINE
Middle Name:
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:ARNP-BC
Other - Prefix:MISS
Other - First Name:JASMINE
Other - Middle Name:
Other - Last Name:NAZIRBAGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1324 LAKELAND HILLS BLVD
Mailing Address - Street 2:MANAGED CARE DEPT
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33805
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1324 LAKELAND HILLS BLVD
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33805-4543
Practice Address - Country:US
Practice Address - Phone:863-380-6041
Practice Address - Fax:863-284-1781
Is Sole Proprietor?:No
Enumeration Date:2019-10-09
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11003388363L00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAU2AYOtherBCBS
FL106057300Medicaid