Individual
JASMINE KELLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30610 WOODSTOCK ST, SOUTHFIELD, MI 48076-1260
(313) 915-1768
Mailing address
30610 WOODSTOCK ST, SOUTHFIELD, MI 48076-1260
(313) 915-1768
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704396440
MI
Other
Enumeration date
11/26/2025
Last updated
11/26/2025
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