IndividualActive
Jasmine Minnis, APRN, ACNPC- AG
NPI 1265100093 · General Practice Registered Nurse · Walls, MS
Provider details
- NPI number
- 1265100093
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Credential
- APRN, ACNPC- AG
- Sex
- Female
- Sole proprietor
- No
- License
- 904928 (MS)
Specialties & taxonomies
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
9141 Mallard Park Blvd
Walls, MS 38680-8003
Phone: (901) 907-7676
Approximate (ZIP-level) locationGet directions
Mailing address
9141 Mallard Park Blvd
Walls, MS 38680-8003
Registry dates
- Enumerated
- 2021-09-07
- Last updated
- 2026-05-18
- Certified
- 2026-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.