Davis, Jasmyne
Davis, Jasmyne is an individual health care provider with primary practice located at 4780 I 55 N Ste 105 , Jackson MS 39211-5542. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Davis, Jasmyne can be contacted via phone (601) 956-4816.Contact Information
Primary practice address
4780 I 55 N Ste 105
Jackson MS 39211-5542
Phone: (601) 956-4816
Fax: (601) 956-4817
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1265107320 |
|---|---|
| LBN Legal business name | Davis, Jasmyne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2021 |
| Last updated | Aug 11th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265107320 | NPPES |
| Mississippi | MEDICAID | 01670076 |
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