Jasmyne Jackson
Pediatrics | Female
Jasmyne Jackson is a Providence, Rhode Island based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jasmyne Jackson is
125 Whipple St Ste 3, Providence, Rhode Island - 02908-3258. She can be contacted on phone at
401-854-2504.
Jasmyne Jackson is a sole proprietor of her business.
NPI number (Unique professional ID) for Jasmyne Jackson is
1184184194 which was assigned by NPPES on 25 Mar, 2019 and it was last updated on 26 Aug, 2022.
Jasmyne Jackson license number is
MD18321 for Pediatrics (208000000X) in Rhode Island.
Jasmyne Jackson is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jasmyne Jackson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jasmyne Jackson |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Jasmyne Jackson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 125 Whipple St Ste 3
Providence, RI, 02908-3258
United States |
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| Phone Number : | 401-854-2504 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1184184194 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 Mar, 2019 |
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| Last Updated On : | 26 Aug, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jasmyne Jackson are as mentioned. Primary taxonomy code for Jasmyne Jackson is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | - |
| 208000000X | Pediatrics | Yes | MD18321 | RI |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 593 Eddy St., Claverick 2
Providence, RI, 02903
United States |
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| Phone Number : | 401-444-4000 |
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Business Location:
Patients can refer following map for directions to
Jasmyne Jackson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.