Individual
DR. JASMINE AFIYA EBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(401) 274-1122
(401) 459-0100
Mailing address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(401) 274-1122
(401) 459-0100
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD17648
RI
Other
Enumeration date
05/15/2017
Last updated
10/19/2021
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