Provider Demographics
NPI:1477277358
Name:WELKE, JASMINE (CNA)
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:
Last Name:WELKE
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 CRESCENT DR
Mailing Address - Street 2:
Mailing Address - City:THOMPSON
Mailing Address - State:ND
Mailing Address - Zip Code:58278-4320
Mailing Address - Country:US
Mailing Address - Phone:701-554-0111
Mailing Address - Fax:
Practice Address - Street 1:620 CRESCENT DR
Practice Address - Street 2:
Practice Address - City:THOMPSON
Practice Address - State:ND
Practice Address - Zip Code:58278-4320
Practice Address - Country:US
Practice Address - Phone:701-554-0111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND938223747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant