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NPI Code Detail

MEDICARE: JAZMIN BRIGHT

MEDICARE:   JAZMIN  BRIGHT
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
11744P3200XProsthetics Case Management

General Provider Information

NPI Number : 1558833343
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAZMIN BRIGHT
Provider Business Mailing Address
First Line : 748 ADDINGTON DR
Second Line :
City : WINTERVILLE
State : NC
Zip : 28590-7102
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 748 ADDINGTON DR
Second Line :
City : WINTERVILLE
State : NC
Zip : 28590-7102
Country : US
Telephone Number : 919-610-3368
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2018
Last Update Date : 12/18/2018

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Directions to “ JAZMIN BRIGHT ” Practice Location

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