Provider Demographics
NPI:1720709652
Name:JASMINE MANSELL
Entity Type:Organization
Organization Name:JASMINE MANSELL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BIVONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-922-0479
Mailing Address - Street 1:3305 NORTHLAND DR STE 205
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4988
Mailing Address - Country:US
Mailing Address - Phone:512-360-9480
Mailing Address - Fax:
Practice Address - Street 1:3305 NORTHLAND DR STE 205
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-4988
Practice Address - Country:US
Practice Address - Phone:512-360-9480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-08
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty