Provider Demographics
NPI:1881345973
Name:SPACHER, JASMINE (CD(CHB), CLC)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:
Last Name:SPACHER
Suffix:
Gender:F
Credentials:CD(CHB), CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:486 GRAHAM AVE # 3L
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222-4912
Mailing Address - Country:US
Mailing Address - Phone:718-314-8292
Mailing Address - Fax:
Practice Address - Street 1:486 GRAHAM AVE # 3L
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222-4912
Practice Address - Country:US
Practice Address - Phone:718-314-8292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-11
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174N00000XOther Service ProvidersLactation Consultant, Non-RN