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NPI Code Detail

MEDICARE: MS. JASMINE STOKES

MEDICARE: MS. JASMINE STOKES
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
1247200000XOther Technician
2103K00000XBehavior Analyst7401001605MI

General Provider Information

NPI Number : 1487000634
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JASMINE STOKES
Provider Business Mailing Address
First Line : 2805 S INDUSTRIAL HWY STE 100
Second Line :
City : ANN ARBOR
State : MI
Zip : 48104-6791
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1625 CONCENTRIC BLVD
Second Line :
City : SAGINAW
State : MI
Zip : 48604-9542
Country : US
Telephone Number : 989-262-0633
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2016
Last Update Date : 07/16/2025

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