Provider Demographics
NPI:1609520816
Name:SOLOMON, JASMINE DEJAUN
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:DEJAUN
Last Name:SOLOMON
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 1:1745 NIAGARA RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43227-3420
Mailing Address - Country:US
Mailing Address - Phone:614-915-7328
Mailing Address - Fax:
Practice Address - Street 1:1745 NIAGARA RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43227-3420
Practice Address - Country:US
Practice Address - Phone:614-915-7328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-07
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator