Most Relevant Information
Provider Data
| NPI Number: | 1003448440 |
| Provider Name: | JASMINE CLINTON |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/04/2020 |
| Last Updated: | 02/04/2020 |
Provider Practice Location
7505 PINES RD
SHREVEPORT
LA
711293935
Practice Location Phone/Fax
| Phone: | 3186779214 |
| Fax: |
Provider Mailing Location
7505 PINES RD
SHREVEPORT
LA
711293935
Provider Mailing Phone/Fax
| Phone: | 3186779214 |
| Fax: |