Individual
JASMINE P GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
801 S UNIVERSITY BLVD STE D, MOBILE, AL 36609-2949
(251) 344-1964
(251) 344-2227
Mailing address
1542 TULANE AVE, BOX T4M-2, NEW ORLEANS, LA 70112-2865
(504) 568-3792
(504) 568-2127
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34737
AL
207R00000X
Internal Medicine Physician
34737
AL
208000000X
Pediatrics Physician
34737
AL
Other
Enumeration date
02/26/2015
Last updated
07/21/2020
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