Shavers, Jazzmine
Shavers, Jazzmine is an individual health care provider with primary practice located at 620 S Laurel St , Pine Bluff AR 71601-4859. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Shavers, Jazzmine can be contacted via phone (870) 534-4900.Contact Information
Primary practice address
620 S Laurel St
Pine Bluff AR 71601-4859
Phone: (870) 534-4900
Fax: (870) 534-4906
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1881090108 |
|---|---|
| LBN Legal business name | Shavers, Jazzmine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2014 |
| Last updated | Nov 13th, 2014 - about 12 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 | 1881090108 | NPPES |
| Arkansas | MEDICAID | 180635526 |
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