Provider Demographics
NPI:1790550051
Name:HALL, JASMINE KAY
Entity Type:Individual
Prefix:PROF
First Name:JASMINE
Middle Name:KAY
Last Name:HALL
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 1:611 HIGHLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:COSHOCTON
Mailing Address - State:OH
Mailing Address - Zip Code:43812-2227
Mailing Address - Country:US
Mailing Address - Phone:740-295-9212
Mailing Address - Fax:
Practice Address - Street 1:611 HIGHLAND BLVD
Practice Address - Street 2:
Practice Address - City:COSHOCTON
Practice Address - State:OH
Practice Address - Zip Code:43812-2227
Practice Address - Country:US
Practice Address - Phone:740-295-9212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-16
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant