Provider Demographics
NPI:1871001214
Name:HANSON, JASMINE HOPE (DC)
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:HOPE
Last Name:HANSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:945 BROADWAY ST NE
Mailing Address - Street 2:STE 275
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55413-2600
Mailing Address - Country:US
Mailing Address - Phone:612-378-9355
Mailing Address - Fax:
Practice Address - Street 1:125 SE MAIN ST
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55414-2143
Practice Address - Country:US
Practice Address - Phone:612-378-9355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-19
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6468111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor