Wellformed AI

NPI 1740994482 · live from the CMS NPI Registry

Jasmine Blunt, DNP

Nurse Practitioner, Psych/Mental Health in Jackson, WY. National Provider Identifier 1740994482, active.

NPI record

NPI1740994482 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Psych/Mental Health 363LP0808X
Practice location140 E Broadway Ave Ste 25, Jackson, WY 83001
Practice phone443-834-1058
EnumeratedJanuary 9, 2023
Last updatedOctober 5, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Psych/Mental Health primary363LP0808XR239297 (MD)
Family Medicine207Q00000XR239297 (MD)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.