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Jasmine Tiana McClure

Homemaker in Ripley, WV. Individual provider (NPI-1).

NPI number1558097485
StatusActive
Last updated in NPPESJul 25, 2022

Details

NPI
1558097485
Entity type
Individual (NPI-1)
Name
Jasmine Tiana McClure
Sex
Female
Sole proprietor
No
Enumeration date
Jul 25, 2022
Certification date
Jul 25, 2022
Last updated
Jul 25, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376J00000X Homemaker––Yes

Practice location

217 South St
Ripley, WV 25271-1421

Phone 304-372-2406 · Fax 304-372-9243

Mailing address

Po Box 617
Ripley, WV 25271-0617

Phone 304-372-2406 · Fax 304-372-9243

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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