Provider Demographics
NPI:1861241721
Name:GURULE DALEY, JASMIN MARIE (RN, BSN)
Entity type:Individual
Prefix:
First Name:JASMIN
Middle Name:MARIE
Last Name:GURULE DALEY
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:JASMIN
Other - Middle Name:MARIE
Other - Last Name:FERGUSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN, BSN
Mailing Address - Street 1:1461 E 100 S UNIT A304
Mailing Address - Street 2:
Mailing Address - City:PAYSON
Mailing Address - State:UT
Mailing Address - Zip Code:84651-3380
Mailing Address - Country:US
Mailing Address - Phone:385-505-0468
Mailing Address - Fax:
Practice Address - Street 1:1461 E 100 S UNIT A304
Practice Address - Street 2:
Practice Address - City:PAYSON
Practice Address - State:UT
Practice Address - Zip Code:84651-3380
Practice Address - Country:US
Practice Address - Phone:385-505-0468
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11279716-3102163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health