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NPI Code Detail

MEDICARE: JASMINE STEVENSON

MEDICARE: JASMINE STEVENSON
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
1235Z00000XSpeech-Language PathologistSLP4238AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275727091
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE STEVENSON
Provider Business Mailing Address
First Line : 5447 E JANICE WAY
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85254-8211
Country : US
Telephone Number : 520-241-6584
Fax Number :
Provider Business Practice Location Address
First Line : 5125 N 58TH AVE
Second Line :
City : GLENDALE
State : AZ
Zip : 85301-7453
Country : US
Telephone Number : 623-931-5800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2007
Last Update Date : 06/29/2021

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Directions to “ JASMINE STEVENSON ” 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.

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