Individual
JASMINE I. HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 WARREN WAY, PROVIDENCE, RI 02905-5000
(401) 444-0530
(401) 444-0423
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 780-2511
(401) 780-2565
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN03573
RI
363LP2300X
Primary Care Nurse Practitioner
RN2299344
MA
363LW0102X
Women's Health Nurse Practitioner
RN2299344
MA
Other
Enumeration date
06/22/2017
Last updated
12/14/2023
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