Provider Demographics
NPI:1932085040
Name:LEE, JASMINE TYRESSE (RN)
Entity type:Individual
Prefix:MRS
First Name:JASMINE
Middle Name:TYRESSE
Last Name:LEE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 LINDA LN
Mailing Address - Street 2:
Mailing Address - City:HONEA PATH
Mailing Address - State:SC
Mailing Address - Zip Code:29654-1032
Mailing Address - Country:US
Mailing Address - Phone:864-828-3707
Mailing Address - Fax:
Practice Address - Street 1:111 LINDA LN
Practice Address - Street 2:
Practice Address - City:HONEA PATH
Practice Address - State:SC
Practice Address - Zip Code:29654-1032
Practice Address - Country:US
Practice Address - Phone:864-828-3707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula