Dr. Jasmine Amena Brathwaite
Family Doctor - Geriatric Medicine
4301 W Markham St Slot 748
Little Rock
, Arkansas 72205-7101
Dr. Jasmine Amena Brathwaite
Family Doctor - Geriatric Medicine
4301 W Markham St Slot 748
Little Rock
, Arkansas 72205-7101
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Jasmine Amena Brathwaite
- 4301 W Markham St Slot 748
- Little Rock, AR
- Zip : 72205-7101
- Phone :
Second Address
- Dr. Jasmine Amena Brathwaite
- 4301 W Markham St Slot 748
- Little Rock, AR
- Zip : 72205-7101
- Fax : (501) 526-5791
- Phone : (501) 686-6219
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | E-8001 | AR |
National Provider Identifier
| NPI | 1083925994 |
|---|---|
| Provider Name | Dr. Jasmine Amena Brathwaite |
| First Address | Little Rock, AR 72205-7101 |
| Second Address | Little Rock, AR 72205-7101 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/06/2010 |
| Last Update Date | 29/04/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.