Individual provider · Type 1 NPI

Jasmine Bickerstaff

Student in an Organized Health Care Education/Training Program · Greenfield, WI

NPI number 1366010845 Active

Practice location

3151 W Mangold Ave Apt 7
Greenfield, WI 53221-5610

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1366010845

Jasmine Bickerstaff's National Provider Identifier is 1366010845, issued on Jun 11, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Greenfield, WI. The record was last updated on Jun 11, 2021.