Provider Demographics
NPI:1922604529
Name:BILBO, JASMINE (RN)
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:
Last Name:BILBO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9000 ALMEDA RD APT 4108
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-4330
Mailing Address - Country:US
Mailing Address - Phone:323-494-0566
Mailing Address - Fax:
Practice Address - Street 1:9000 ALMEDA RD APT 4108
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-4330
Practice Address - Country:US
Practice Address - Phone:323-494-0566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-08
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment