MEDICARE: JAZMINE THOMPSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	2255A2300X	Athletic Trainer	2981	AL

General Provider Information

NPI Number	:	1275295123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAZMINE THOMPSON

Provider Business Mailing Address
First Line	:	6489 NEWBRIDGE DR
Second Line	:
City	:	BESSEMER
State	:	AL
Zip	:	35022-2015
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 INTERNATIONAL PARK DR STE 250
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35243-4240
Country	:	US
Telephone Number	:	205-970-2350
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2021
Last Update Date	:	05/15/2026

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Directions to “ JAZMINE THOMPSON ” Practice Location

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