Individual
JASMINE NICOLE NILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
106 S DUNCAN AVE, FAYETTEVILLE, AR 72701-5631
(479) 841-0833
Mailing address
106 S DUNCAN AVE, FAYETTEVILLE, AR 72701-5631
(479) 841-0833
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
200907
AR
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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