Dr Jasmine Kinata Minnis, APRN, ACNPC- AG - Nurse Practitioner in Walls, MS

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Dr Jasmine Kinata Minnis, APRN, ACNPC- AG is a Nurse Practitioner - Acute Care based in Walls, Mississippi. Dr Jasmine Kinata Minnis is licensed to practice in Tennessee (license number 29597) and her current practice location is 9141 Mallard Park Blvd, Walls, Mississippi. She can be reached at her office (for appointments etc.) via phone at (901) 907-7676.

NPI number for Dr Jasmine Kinata Minnis is 1265100093 and her current mailing address is 9141 Mallard Park Blvd, Walls, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265100093.

Contact Information

Dr Jasmine Kinata Minnis, APRN, ACNPC- AG
9141 Mallard Park Blvd,
Walls, MS 38680-8003
(901) 907-7676
Not Available

Map and Direction




Provider's Profile

Full NameDr Jasmine Kinata Minnis
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location9141 Mallard Park Blvd, Walls, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265100093
  • Provider Enumeration Date: 09/07/2021
  • Last Update Date: 02/16/2022

Medical Identifiers

Medical identifiers for Dr Jasmine Kinata Minnis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265100093NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 904928 (Mississippi)Secondary
363LA2100XNurse Practitioner - Acute Care 29597 (Tennessee)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jasmine Kinata Minnis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jasmine Kinata Minnis, APRN, ACNPC- AG
9141 Mallard Park Blvd,
Walls, MS 38680-8003

Ph: (901) 907-7676		Dr Jasmine Kinata Minnis, APRN, ACNPC- AG
9141 Mallard Park Blvd,
Walls, MS 38680-8003

Ph: (901) 907-7676

Reviews and Comments


Nurse Practitioner Nurses in Walls, MS


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