Provider Demographics
NPI:1235986662
Name:DAMPIER, JASMINE GUY
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:GUY
Last Name:DAMPIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:772 POINTE SOUTH PKWY APT 1106
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30238-4393
Mailing Address - Country:US
Mailing Address - Phone:682-351-5047
Mailing Address - Fax:
Practice Address - Street 1:772 POINTE SOUTH PKWY APT 1106
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30238-4393
Practice Address - Country:US
Practice Address - Phone:682-351-5047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician