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NPI Code Detail

MEDICARE: JASMINE MARIE IBRAHIM

MEDICARE: JASMINE MARIE IBRAHIM
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
1373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1659227841
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE MARIE IBRAHIM
Provider Business Mailing Address
First Line : 305 N 4TH ST
Second Line :
City : NORFOLK
State : NE
Zip : 68701-4003
Country : US
Telephone Number : 402-371-1147
Fax Number : 402-371-1218
Provider Business Practice Location Address
First Line : 305 N 4TH ST
Second Line :
City : NORFOLK
State : NE
Zip : 68701-4003
Country : US
Telephone Number : 402-371-1147
Fax Number : 402-371-1218
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ JASMINE MARIE IBRAHIM ” Practice Location

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