Individual provider · Type 1 NPI

Jasmine Kennerly, RN

Registered Nurse · Fort Wayne, IN

NPI number 1912847591 Active

Practice location

2121 Lake Ave
Fort Wayne, IN 46805-5100

Call (260) 426-5431 Map

Mailing address

810 Vermont Ave NW
Washington, DC 20420-0001

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN209276 (GA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1912847591

Jasmine Kennerly, RN's National Provider Identifier is 1912847591, issued on Mar 31, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Mar 31, 2026.