Provider Demographics
NPI:1043099708
Name:MURRAY, JASMINE C
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:C
Last Name:MURRAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 BERKELEY RD APT C
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205-2164
Mailing Address - Country:US
Mailing Address - Phone:614-747-7834
Mailing Address - Fax:
Practice Address - Street 1:435 BERKELEY RD APT C
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-2164
Practice Address - Country:US
Practice Address - Phone:614-747-7834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-22
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator