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NPI Code Detail

MEDICARE: JASMINE NICOLE MEDINA

MEDICARE:   JASMINE NICOLE MEDINA
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1801619507
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE NICOLE MEDINA
Provider Business Mailing Address
First Line : 2570 S DAYTON WAY APT A105
Second Line :
City : DENVER
State : CO
Zip : 80231-3975
Country : US
Telephone Number : 720-808-4139
Fax Number :
Provider Business Practice Location Address
First Line : 2570 S DAYTON WAY APT A105
Second Line :
City : DENVER
State : CO
Zip : 80231-3975
Country : US
Telephone Number : 720-808-4139
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2024
Last Update Date : 11/02/2024

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Directions to “ JASMINE NICOLE MEDINA ” Practice Location

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