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NPI Code Detail

MEDICARE: JASMINE JENKINS

MEDICARE:   JASMINE  JENKINS
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
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General Provider Information

NPI Number : 1306631601
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE JENKINS
Provider Business Mailing Address
First Line : 3648 OBAR WAY APT 5305
Second Line :
City : FORT WORTH
State : TX
Zip : 76106-1517
Country : US
Telephone Number : 972-533-4517
Fax Number :
Provider Business Practice Location Address
First Line : 3648 OBAR WAY APT 5305
Second Line :
City : FORT WORTH
State : TX
Zip : 76106-1517
Country : US
Telephone Number : 972-533-4517
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2025
Last Update Date : 04/09/2025

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Directions to “ JASMINE JENKINS ” Practice Location

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