Individual
JASMINE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
930 LAMAR AVE OFC 4, YAZOO CITY, MS 39194-3242
(601) 967-6194
Mailing address
PO BOX 1192, YAZOO CITY, MS 39194-1192
(601) 967-6194
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020
PRIVATE
—
05
—
2020
—
MS
Enumeration date
05/20/2022
Last updated
06/14/2022
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