Provider Demographics
NPI:1447740816
Name:WILLIAMS, JASMIN
Entity Type:Individual
Prefix:MISS
First Name:JASMIN
Middle Name:
Last Name:WILLIAMS
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 1:7921 BULLARD AVE STE 2C
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70128-1186
Mailing Address - Country:US
Mailing Address - Phone:504-208-8675
Mailing Address - Fax:866-583-9593
Practice Address - Street 1:7921 BULLARD AVE STE 2C
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70128-1186
Practice Address - Country:US
Practice Address - Phone:504-208-8675
Practice Address - Fax:866-583-9593
Is Sole Proprietor?:No
Enumeration Date:2018-05-11
Last Update Date:2018-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator