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NPI Code Detail

MEDICARE: JASMINE NICOLE MAYS NP-C

MEDICARE: JASMINE NICOLE MAYS NP-C
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
1363L00000XNurse Practitioner4704266845MI
2363LF0000XFamily Nurse Practitioner4704266845MI

General Provider Information

NPI Number : 1114579323
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE NICOLE MAYS NP-C
Provider Business Mailing Address
First Line : 20059 BURT RD
Second Line :
City : DETROIT
State : MI
Zip : 48219-1363
Country : US
Telephone Number : 313-478-4160
Fax Number :
Provider Business Practice Location Address
First Line : 1726 HOWARD ST
Second Line :
City : DETROIT
State : MI
Zip : 48216-1921
Country : US
Telephone Number : 313-832-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2019
Last Update Date : 07/24/2019

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Directions to “ JASMINE NICOLE MAYS NP-C” Practice Location

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