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Individual
MS. JASMINE DOMINIQUE SMITH
Active
Individual
MS. JASMINE DOMINIQUE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1049367
TX
324500000X
Substance Abuse Rehabilitation Facility
1049367
TX
363LF0000X
Family Nurse Practitioner
Primary
904359
MS
Other
Enumeration date
07/08/2021
Last updated
12/02/2022
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