DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JAZMINE MARIE BANCROFT

MEDICARE: JAZMINE MARIE BANCROFT
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1588528467
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAZMINE MARIE BANCROFT
Provider Business Mailing Address
First Line : 3809 LAKE EASTBROOK BLVD SE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49546-5931
Country : US
Telephone Number : 616-604-8492
Fax Number :
Provider Business Practice Location Address
First Line : 3809 LAKE EASTBROOK BLVD SE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49546-5931
Country : US
Telephone Number : 616-604-8492
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2025
Last Update Date : 12/15/2025

Similar Medicare Providers

1770447658 — HANNAH SUSANNE GREEN
Practice Location Address:
3809 LAKE EASTBROOK BLVD SE
GRAND RAPIDS, MI
49546-5931
Practice Phone: 616-604-8492
Practice Fax: 616-604-8493
1124982004 — ZOE PRINS
Practice Location Address:
3809 LAKE EASTBROOK BLVD SE
GRAND RAPIDS, MI
49546-5931
Practice Phone: 616-604-8492
Practice Fax:
1598627465 — SABITRA BHATTARAI
Practice Location Address:
3809 LAKE EASTBROOK BLVD SE
GRAND RAPIDS, MI
49546-5931
Practice Phone: 616-604-8492
Practice Fax:
1952837072 — JAMES LESAR
Practice Location Address:
3809 LAKE EASTBROOK BLVD SE
GRAND RAPIDS, MI
49546-5931
Practice Phone: 616-604-8492
Practice Fax:
1063984714 — ASHLEY L ANDERSON
Practice Location Address:
3809 LAKE EASTBROOK BLVD SE
GRAND RAPIDS, MI
49546-5931
Practice Phone: 616-604-8492
Practice Fax: 616-604-8493
1811451339 — ANNALISE J SIKMA
Practice Location Address:
3809 LAKE EASTBROOK BLVD SE STE A
GRAND RAPIDS, MI
49546-5931
Practice Phone: 616-604-8492
Practice Fax:

Directions to “ JAZMINE MARIE BANCROFT ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.