Provider Demographics
NPI:1356004923
Name:THOMPSON, JASMINE MARIE
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:MARIE
Last Name:THOMPSON
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 1:8204 ELMBROOK DR STE 220
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-4060
Mailing Address - Country:US
Mailing Address - Phone:469-967-0289
Mailing Address - Fax:
Practice Address - Street 1:8204 ELMBROOK DR STE 220
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-4060
Practice Address - Country:US
Practice Address - Phone:469-967-0289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-20
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula