Individual provider · Type 1 NPI

Jasmine Evonne Tate

Student in an Organized Health Care Education/Training Program · Gaffney, SC

NPI number 1679092084 Active

Practice location

131 Poplar Ridge Drive
Gaffney, SC 29341

Call (864) 838-8233 Map

Mailing address

131 Poplar Ridge Dr
Gaffney, SC 29341-4873

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679092084

Jasmine Evonne Tate's National Provider Identifier is 1679092084, issued on Sep 18, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gaffney, SC. The record was last updated on Jul 21, 2022.