Individual
JASMINE NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA
Contact information
Practice address
9181 S ASPEN DR UNIT 6, OAK CREEK, WI 53154-4470
(414) 628-2020
Mailing address
9181 S ASPEN DR UNIT 6, OAK CREEK, WI 53154-4470
(414) 509-9726
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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