Search › Georgia › 163WM0102X
Jasmine Ivie
NPI 1750222568 · on the registry since 2026 · sole proprietor
Practice
- Address
- 1400 Lake Hearn Dr Ne Apt 4524
Brookhaven, GA 30319 - Phone
- (615) 509-2394
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 163WM0102X
163WM0102X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia