Individual provider · Type 1 NPI
Jasi Marie Banks, RN
Pediatric Registered Nurse · Tyler, TX
NPI number
1760004808
Active
Practice location
5621 Old Bullard Rd Apt 161
Tyler, TX 75703-4317
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse Primary | 163WP0200X | 958752 (TX) |
Pediatric Registered Nurse: Definition to come...
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About NPI 1760004808
Jasi Marie Banks, RN's National Provider Identifier is 1760004808, issued on May 12, 2020. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Tyler, TX. The record was last updated on May 12, 2020.