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Dr. Jasmine Simone Mckissick, MD
Student in an Organized Health Care Education/Training Program in Bryan, Texas
NPI 1619553393

Jasmine Simone Mckissick is a Student in an Organized Health Care Education/Training Program based in Bryan, TX. Jasmine Simone Mckissick practices in Bryan, TX and has the professional credentials of MD. The NPI Number for Jasmine Simone Mckissick is 1619553393 and holds a License No. (Texas).

The current practice location address for Jasmine Simone Mckissick is 2900 E 29Th St, Bryan, TX and can be reached out via phone at 979-436-0485.

Location: 2900 E 29Th St, Bryan, TX, 77802-2622
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619553393
Provider Name
Jasmine Simone Mckissick
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2900 E 29Th St, Bryan, TX, 77802-2622
Phone Number
979-436-0485
Fax Number
Provider Enumeration Date
03/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2900 E 29Th St
City
Bryan
State
Texas
Zip
77802-2622
Phone Number
979-436-0485
Fax Number
person
Provider Business Mailing Address Details
Address
2900 E 29Th St
City
Bryan
State
Texas
Zip
77802-2622
Phone Number
979-436-0485
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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