MEDICARE: JASMINE JARRETT

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
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1942084942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASMINE JARRETT

Provider Business Mailing Address
First Line	:	4018 ALTON ST
Second Line	:
City	:	CAPITOL HEIGHTS
State	:	MD
Zip	:	20743-5603
Country	:	US
Telephone Number	:	678-596-5962
Fax Number	:

Provider Business Practice Location Address
First Line	:	4018 ALTON ST
Second Line	:
City	:	CAPITOL HEIGHTS
State	:	MD
Zip	:	20743-5603
Country	:	US
Telephone Number	:	678-596-5962
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2023
Last Update Date	:	08/21/2023

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Directions to “ JASMINE JARRETT ” Practice Location

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