Provider Demographics
NPI:1548076722
Name:ASHOUR, JASMINE KAMAL
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:KAMAL
Last Name:ASHOUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MINA
Other - Middle Name:KAMAL
Other - Last Name:ASHOUR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5716 KENSINGTON RD
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-4757
Mailing Address - Country:US
Mailing Address - Phone:813-841-3670
Mailing Address - Fax:
Practice Address - Street 1:5716 KENSINGTON RD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-4757
Practice Address - Country:US
Practice Address - Phone:813-841-3670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician