Individual
JASMINE NALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4940 OBANNON RD SE, ELIZABETH, IN 47117-7860
(812) 572-8619
Mailing address
4940 OBANNON RD SE, ELIZABETH, IN 47117-7860
(812) 572-8619
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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