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1962170829 NPI number — JASMINE DANIELLE HAILEY

NPI Number: 1962170829
Health Care Provider/Practitioner: JASMINE DANIELLE HAILEY

Information about “1962170829” NPI (JASMINE DANIELLE HAILEY) exists in 1962170829 in HTML format HTML  |  1962170829 in plain Text format TXT  |  1962170829 in PDF (Portable Document Format) PDF  |  1962170829 in an XML format XML  formats.

NPI Number : 1962170829 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962170829",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HAILEY",
    "FirstName": "JASMINE",
    "MiddleName": "DANIELLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ANDERSON",
    "OtherFirstName": "JASMINE",
    "OtherMiddleName": "DANIELLE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "DDS",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "557 TUCKER VIEW DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CORDOVA",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "38018-6651",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "901-679-4657",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5270 POPLAR AVE STE 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MEMPHIS",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "38119-3515",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "901-255-3459",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/03/2021",
    "LastUpdateDate": "10/11/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": "11807",
        "LicenseNumberStateCode": "TN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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