Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASMINE NORRIS
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · SUMMIT, NJ
Registration Details
- NPI Number
- 1053846626
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 20, 2017 (9.0045991240667 yrs)
- Last Updated
- Apr 20, 2017
- Licenses
-
N666513887558882 (NJ)N66513887558882 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
48 RUSSELL PLSUMMIT, NJ, 079013814Browse NJ providers · Browse ZIP 07901
- Phone
- 9088487116
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
- Additional Specialty
- Intellectual Disabilities Residential Treatment Facility
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.