Provider Demographics
NPI:1346784774
Name:SEAY, JASMINE
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:
Last Name:SEAY
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 1:1732 W BETHUNE ST
Mailing Address - Street 2:APT 4
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48206-2721
Mailing Address - Country:US
Mailing Address - Phone:313-404-3134
Mailing Address - Fax:
Practice Address - Street 1:1732 W BETHUNE ST
Practice Address - Street 2:APT 4
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48206-2721
Practice Address - Country:US
Practice Address - Phone:313-404-3134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-04
Last Update Date:2016-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide