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NPI Code Detail

MEDICARE: JASMINE BILLINGTON

MEDICARE:   JASMINE  BILLINGTON
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
1376J00000XHomemaker

General Provider Information

NPI Number : 1508488461
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE BILLINGTON
Provider Business Mailing Address
First Line : 2260 UNIVERSITY BLVD N APT 99A
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32211-3263
Country : US
Telephone Number : 904-330-7033
Fax Number :
Provider Business Practice Location Address
First Line : 2260 UNIVERSITY BLVD N APT 99A
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32211-3263
Country : US
Telephone Number : 904-330-7033
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2020
Last Update Date : 05/14/2020

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Directions to “ JASMINE BILLINGTON ” Practice Location

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