Kendall Jasper in Charlotte - Community/behavioral Health
Kendall Jasper - NPI 1720106743
Kendall Jasper is a Community/behavioral Health in Charlotte, North Carolina. Kendall Jasper practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Kendall Jasper is 1720106743. The last update date is 2016-04-04.
Kendall Jasper's current location address is 223 W Morehead St, Charlotte, North Carolina. You can contact this provider via phone number 9808195692 and fax number 9808195694. The mailing address for Kendall Jasper is 223 W Morehead St, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kendall Jasper |
|---|---|
| Address | 223 W Morehead St, Charlotte, North Carolina |
| Phone Number | 9808195692 |
| Fax Number | 9808195694 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1720106743 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2016-04-04 |
Provider Mailing Address Detail
| Address | 223 W Morehead St |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282021521 |
| Phone Number | 9808195692 |
| Fax Number | 9808195694 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | 4088 |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6107205 | NC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kendall Jasper?
The Kendall Jasper has been issued the NPI (National Provider Identifier) 1720106743 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Kendall Jasper is located?
The Kendall Jasper is situated at the following address: 223 W Morehead St, Charlotte, NC, 282021521.
What is Kendall Jasper's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kendall Jasper is Community/behavioral Health, and the corresponding taxonomy classification code for this specialized field is 251S00000X.
On what date did the Kendall Jasper receive the assignment of its 1720106743 from the Centers for Medicare & Medicaid Services?
The Kendall Jasper was issued its 1720106743 by the Centers for Medicare & Medicaid Services on 2007-03-27.
When was the information related to Kendall Jasper most recently updated or refreshed?
The details pertaining to the Kendall Jasper, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-04-04.