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Provider Information for 1841740529


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JASMINE WILLIAMS


Sex: Female

NPI: 1841740529
Last Updated: 2024-04-24
Certification Date: 2024-04-24

Details

NameValue
NPI1841740529
Enumeration Date2016-10-06
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 660 SE BAYBERRY LN STE 101
LEES SUMMIT, MO 64063-4264
United States

Phone: 816-207-8993 | Fax:
 
Primary Practice Address 529 SE 2ND ST STE D
LEES SUMMIT, MO 64063-2654
United States

Phone: 816-581-3737 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDMO1912247214
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 104100000X - Social Worker MO2019029083